ZT5-18471-31175
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 787 / TX
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Moderna
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-04-17
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
-
2021-05-13
Dose 2 — Moderna
-
2021-05-13
Survey response — day 0, dose 2MedDRA: Epistaxis — Feeling: Good · Site: Pain · ChillsFree text: Clinched jaw, bloody noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Headache, Joint pains, NauseaAdult check-in
- 2021-05-15
- 2021-05-16
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-05-18
- 2021-05-20
-
2021-05-29
Survey response — day 14, dose 2MedDRA: Abdominal pain, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: UTI, abdominal painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-29
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-03
Survey response — day 21, dose 2MedDRA: Abdominal pain, Urinary tract infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Abdominal pain, UTIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-03
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-08
- 2021-06-10
- 2021-06-11
- 2021-06-17
-
2021-08-14
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-14
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-29 | Unsuccessful | |
| 2021-06-03 | Unsuccessful | |
| 2021-08-14 | Unsuccessful |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Clinched jaw, bloody nose
Release 8 — day 14, dose 2
Symptoms: UTI, abdominal pain
Release 8 — day 21, dose 2
Symptoms: Abdominal pain, UTI
Release 9 — 3 months, dose 2
Symptoms: Pregnancy
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release