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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

  1. 2021-04-08
    Dose 1 — Moderna
  2. 2021-04-18
    Registered in v-safe
  3. 2021-04-18
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  4. 2021-04-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-05-07
    Dose 2 — Moderna
  7. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-19
    Survey response — day 42, dose 2
    MedDRA: Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Itchy rash development.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-19
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-06-24
  21. 2021-08-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-07
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis, Sinusitis — Feeling: Poor · Be unable to work or attend school
    Free text: Sinus infection in September and severe cold today.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Moderna
22021-05-07Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-06-19 Unsuccessful

Free text

Release 9 — day 42, dose 2

2021-06-19

Symptoms: Itchy rash development.

Release 10 — 6 months, dose 2

2021-11-07

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

FieldPreferred term2021-092023-042024-11
SDNasopharyngitis · · ✓
SDRash pruritic ✓ ✓ ✓
SDSinusitis · · ✓

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