3KM-14837-35529
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 676 / KS
- Registered
- 2021-10-28
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-09-28
Dose 1 — Moderna
-
2021-10-28
Registered in v-safe
-
2021-10-28
Dose 2 — Moderna
-
2021-10-28
Survey response — day 0, dose 2MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
-
2021-11-15
Survey response — day 14, dose 2MedDRA: Cardiac flutter — Feeling: GoodFree text: My heart flutters sometimesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
-
2022-01-27
Survey response — 3 months, dose 2MedDRA: Chest pain, Pain in extremity — Feeling: GoodFree text: Chest pain and arm pain.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: FairFree text: I got pregnant lolMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-28 | Moderna | No |
| 2 | 2021-10-28 | Moderna | No |
Free text
Release 10 — day 0, dose 2
Systemic reaction (other): Shortness of breath
Release 10 — day 14, dose 2
Symptoms: My heart flutters sometimes
Release 11 — 3 months, dose 2
Symptoms: Chest pain and arm pain.
Release 11 — 6 months, dose 2
Symptoms: I got pregnant lol
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 | Cardiac flutter | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release