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ZV6-67013-30922

2 vaccinations 2 coded responses 11 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
285 / NC
Registered
2021-08-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-02
    Dose 1 — Moderna
  2. 2021-08-30
    Registered in v-safe
  3. 2021-08-30
    Dose 2 — Moderna
  4. 2021-08-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-08-31
    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 work or attend school, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-09-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-09-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-09-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-09-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-09-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-10-04
    Survey response — day 35, dose 2
    MedDRA: Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Sore throat, cough, fatigue, congestion
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-10-04
    Report sent to call center — day 35, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  13. 2021-10-11
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  14. 2021-10-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-03-02
    Survey response — 6 months, dose 2
    MedDRA: Cough, Fatigue, Headache, Paranasal sinus discomfort, Rhinorrhoea — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Headache, fatigue, sinus pressure, runny nose, cough
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-03-02
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  18. 2022-03-03

Vaccinations

DoseDateManufacturerCo-administered
12021-08-02Moderna No
22021-08-30Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-04 Successful
2021-10-11
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-02 Unsuccessful

Free text

Release 10 — day 35, dose 2

2021-10-04

Symptoms: Sore throat, cough, fatigue, congestion

Release 11 — 6 months, dose 2

2022-03-02

Symptoms: Headache, fatigue, sinus pressure, runny nose, cough

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
SDCough · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDOropharyngeal pain · · ✓
SDParanasal sinus discomfort · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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