2PP-11756-71506
4 vaccinations
6 coded responses
26 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 462 / IN
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
-
2020-12-29
Survey response — day 0, dose 1MedDRA: Exposure during pregnancy, Muscle tightness — Feeling: Good · Site: PainFree text: Pregnant belly feels “tightâ€MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: COVID-19, Exposure to SARS-CoV-2 — Feeling: Good · HeadacheFree text: Toddler is COVID+ today after known exposure at daycare 12/28MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: SARS-CoV-2 test positive — Feeling: Good · NauseaFree text: Toddler tested positive for Covid yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-04
- 2021-01-06
- 2021-01-12
- 2021-01-21
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, NauseaAdult check-in
- 2021-01-28
- 2021-01-30
- 2021-02-02
-
2021-02-11
Survey response — day 14, dose 2MedDRA: Unevaluable event — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Delivery of baby, vaginal, w/3rd degree tearMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-16
- 2021-02-23
- 2021-03-03
- 2021-03-11
-
2021-05-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-28
-
2021-11-16
Dose 3 — Moderna
-
2022-05-17
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: Many colds from my daycare toddler after masking ended for the most part in IndianaMedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Dose 4 — Moderna
-
2022-10-18
Survey response — day 7, dose 4MedDRA: Injection site pain, Pain — Feeling: GoodFree text: Directly after my vaccination (about 12 hours later) I experienced soreness at the site as well as generalized body aches that lasted less than 12 hoursMedDRA releases: 2024-11 · check-in free text available
- 2022-10-23
- 2022-10-31
- 2022-11-08
- 2022-11-14
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-10-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-11 | Successful 2021-05-03 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Pregnant belly feels “tightâ€
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Toddler is COVID+ today after known exposure at daycare 12/28
Systemic reaction (other): Toddler tested positive for Covid yesterday
Release 4 — day 14, dose 2
Symptoms: Delivery of baby, vaginal, w/3rd degree tear
Release 11 — 6 months, dose 3
Symptoms: Many colds from my daycare toddler after masking ended for the most part in Indiana
Release 12 — day 7, dose 4
Systemic reaction (other): Directly after my vaccination (about 12 hours later) I experienced soreness at the site as well as generalized body aches that lasted less than 12 hours
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | COVID-19 | ✓ | ✓ | ✓ |
| SRO | Exposure during pregnancy | ✓ | ✓ | ✓ |
| SRO | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release