25W-88326-49001
3 vaccinations
5 coded responses
41 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 930 / CA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
WQB-17563-51995
Child or adolescent in my care · Female · 2021-11-30
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: My rash was actually last night under my arm pit and my hip on the same side as injection but not at injection site and it went away alreadyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Injection site pain — Feeling: Good · Fatigue or tirednessFree text: Very mild pain at injection site but overall my arm pain is nearly gone and no more headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-14
Dose 2 — Moderna
-
2021-04-14
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaFree text: Dizziness admittedly this could be seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Pyrexia — Feeling: GoodFree text: I did run a low grade fever last night after I did the daily check in and had moderately bad headaches as well. Felt better todayMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Palpitations, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · Joint pains, Muscle or body achesFree text: I have been have more palpitations than usual. I struggle with anxiety and have had palpitations since a sickness caught last November (I tested negative for COVID then ) but I have had more palpitations than usual since my boosterMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-04
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My rash was actually last night under my arm pit and my hip on the same side as injection but not at injection site and it went away already
Systemic reaction (other): Very mild pain at injection site but overall my arm pain is nearly gone and no more headache
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness admittedly this could be seasonal allergies
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I did run a low grade fever last night after I did the daily check in and had moderately bad headaches as well. Felt better today
Systemic reaction (other): I have been have more palpitations than usual. I struggle with anxiety and have had palpitations since a sickness caught last November (I tested negative for COVID then ) but I have had more palpitations than usual since my booster
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 |
|---|---|---|---|---|
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release