ZV8-29912-03008
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 967 / HI
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-06
Dose 1 — Moderna
-
2021-03-06
Dose 2 — Moderna
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-28
- 2021-04-03
- 2021-04-10
- 2021-04-19
- 2021-06-07
-
2021-09-04
Survey response — 6 months, dose 2MedDRA: Paranasal sinus discomfort — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had sinus discomfort for a few daysMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-03-08
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Miscarriage in November at 6 weeks.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-08
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-03-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-08 | Successful 2022-03-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — 6 months, dose 2
Symptoms: Had sinus discomfort for a few days
Release 11 — 12 months, dose 2
Symptoms: Miscarriage in November at 6 weeks.
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 | Abortion spontaneous | · | · | ✓ |
| SD | Paranasal sinus discomfort | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release