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ZRJ-20133-52589

3 vaccinations 5 coded responses 25 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
231 / VA
Registered
2021-02-10
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Registered in v-safe
  2. 2021-02-10
    Dose 1 — Moderna
  3. 2021-02-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain — Feeling: Good
    Free text: Pain in armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Headache
    Free text: Pain under my arm down to my elbow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-17
    Survey response — day 7, dose 1
    MedDRA: Axillary pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache
    Free text: Pain under arm out and down arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-10
    Dose 2 — Moderna
  13. 2021-03-10
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Diarrhea
    Adult check-in
  16. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-31
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-08
    Survey response — 6 months, dose 2
    MedDRA: Hyperprolactinaemia, Hypothyroidism — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Hypothyroidism and hyperprolactinemia
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-09-08
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-09-11
  27. 2021-10-28
    Dose 3 — Moderna
  28. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  29. 2022-01-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-04-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-10-30
    Survey response — 12 months, dose 3
    MedDRA: Delivery, Hospitalisation, Pre-eclampsia, Rest regimen — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: I had mild preeclampsia during pregnancy but delivered a healthy baby. Due date was 10/2 and was induced (b)(6). I was on bed rest for 2 weeks and hospitalized for 6 days.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-10-30
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  33. 2022-10-31
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  34. 2022-10-31
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-10Moderna
32021-10-28Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-08 Successful
2022-10-31
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-30 Successful
2022-10-31
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): Pain in armpit

2021-02-16

Systemic reaction (other): Pain under my arm down to my elbow

Release 4 — day 7, dose 1

2021-02-17

Systemic reaction (other): Pain under arm out and down arm

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Hypothyroidism and hyperprolactinemia

Release 12 — 12 months, dose 3

2022-10-30

Symptoms: I had mild preeclampsia during pregnancy but delivered a healthy baby. Due date was 10/2 and was induced (b)(6). I was on bed rest for 2 weeks and hospitalized for 6 days.
redacted (b)(6)

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDDelivery · · ✓
SDHospitalisation · · ✓
SDHyperprolactinaemia · · ✓
SDHypothyroidism · · ✓
SDPre-eclampsia · · ✓
SDRest regimen · · ✓
SROAxillary pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release