ZVA-29258-75604
2 vaccinations
2 coded responses
17 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 217 / MD
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Moderna
-
2021-04-18
Registered in v-safe
- 2021-04-18
- 2021-04-22
- 2021-04-30
-
2021-05-07
Dose 2 — Moderna
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-23
- 2021-05-28
- 2021-06-04
- 2021-06-11
-
2021-06-19
Survey response — day 42, dose 2MedDRA: Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Itchy rash development.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-19
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-24
- 2021-08-08
-
2021-11-07
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Sinusitis — Feeling: Poor · Be unable to work or attend schoolFree text: Sinus infection in September and severe cold today.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-07 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-19 | Unsuccessful |
Free text
Release 9 — day 42, dose 2
Symptoms: Itchy rash development.
Release 10 — 6 months, dose 2
Symptoms: Sinus infection in September and severe cold today.
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 | Nasopharyngitis | · | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release