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ZYV-12312-40196

3 vaccinations 1 coded response 36 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
658 / MO
Registered
2021-03-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
263-85055-58211 Child or adolescent in my care · Male · 2022-02-16

Timeline

  1. 2021-03-17
    Dose 1 — Moderna
  2. 2021-03-21
    Registered in v-safe
  3. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-04-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-14
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-15
    Dose 2 — Moderna
  10. 2021-04-15
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  11. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  12. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  13. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  14. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  15. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness · Be unable to work
    Adult check-in
  17. 2021-04-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-14
    Survey response — 6 months, dose 2
    MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-14
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  25. 2021-10-19
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  26. 2022-02-16
    Dose 3 — Moderna
  27. 2022-02-16
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  28. 2022-02-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  29. 2022-02-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2022-02-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2022-02-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2022-02-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2022-02-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2022-02-23
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2022-03-02
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-03-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-03-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-03-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-03-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-05-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-08-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2023-02-16
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-15Moderna
32022-02-16Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-14 Successful
2021-10-19
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Pregnant

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
SDPregnancy · · ✓

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

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