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26L-14565-66869

3 vaccinations 9 coded responses 29 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
544 / WI
Registered
2021-04-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-14
    Dose 1 — Moderna
  2. 2021-04-23
    Registered in v-safe
  3. 2021-04-23
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-05-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-05-12
    Dose 2 — Moderna
  7. 2021-05-12
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-05-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Before I felt feverish last night my jaw was uncontrollably chattering for a few minutes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Chills
    Adult check-in
  10. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-11
    Survey response — 6 months, dose 2
    MedDRA: Cough, Fatigue, Nasopharyngitis, Nausea, Oropharyngeal pain, Pyrexia — Feeling: Poor
    Free text: Fever, cough, sore throat, nausea, fatigue. My infant had the same symptoms. I believe we picked up a common cold
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-13
    Dose 3 — Moderna
  23. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  24. 2021-11-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Breast feeding, Discomfort, Nasopharyngitis — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Free text: Nasal discomfort kind of like a cold but no drainage. My baby that I breastfeed is also feverish today
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Sinus disorder — Feeling: Fair · Fever · Chills, Headache
    Free text: Sinus symptoms
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-17
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest discomfort, Respiratory symptom — Feeling: Fair
    Free text: Respiratory symptoms and chest tightness
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lactation disorder — Feeling: Good · Fatigue or tiredness
    Free text: My milk supply has significantly dropped. I tried power pumping to help build it back up.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Nasal disorder — Feeling: Fair · Fever · Chills, Headache
    Free text: Nasal symptoms
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-20
    Survey response — day 7, dose 3
    MedDRA: Hyperhidrosis — Feeling: Poor · Headache, Nausea
    Free text: Sweating
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-27
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-04
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-20
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-27
    Survey response — day 42, dose 3
    MedDRA: Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor
    Free text: I have a bad headache and a sore throat and a runny nose
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Moderna
22021-05-12Moderna
32021-11-13Moderna No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Before I felt feverish last night my jaw was uncontrollably chattering for a few minutes

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: Fever, cough, sore throat, nausea, fatigue. My infant had the same symptoms. I believe we picked up a common cold

Release 10 — days 1–6 daily, dose 3

2021-11-15

Systemic reaction (other): Nasal discomfort kind of like a cold but no drainage. My baby that I breastfeed is also feverish today

2021-11-16

Systemic reaction (other): Sinus symptoms

2021-11-17

Systemic reaction (other): Respiratory symptoms and chest tightness

2021-11-18

Systemic reaction (other): My milk supply has significantly dropped. I tried power pumping to help build it back up.

2021-11-19

Systemic reaction (other): Nasal symptoms

Release 10 — day 7, dose 3

2021-11-20

Systemic reaction (other): Sweating

Release 10 — day 42, dose 3

2021-12-27

Symptoms: I have a bad headache and a sore throat and a runny nose

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
SDCough · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDNasopharyngitis · · ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SROBreast feeding · · ✓
SROChest discomfort · · ✓
SROChills ✓ ✓ ✓
SRODiscomfort · · ✓
SROHyperhidrosis · · ✓
SROLactation disorder · · ✓
SRONasal disorder · · ✓
SRONasopharyngitis · · ✓
SROPyrexia ✓ ✓ ✓
SRORespiratory symptom · · ✓
SROSinus disorder · · ✓

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