4GN-18860-26417
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 847 / UT
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
-
2021-03-17
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · NauseaFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
-
2021-04-23
Dose 2 — Moderna
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Nightmare — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: NightmaresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-16
- 2021-05-21
- 2021-05-29
-
2021-06-04
Survey response — day 42, dose 2MedDRA: Headache, Migraine, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have had a couple bad headaches and a migraine. I have chronic migraines, but haven't had any for a while (pregnancy related changes). I just included this information just in case.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-23
Survey response — 3 months, dose 2MedDRA: Office visit, Pregnancy — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnancy · Healthcare visit (other): OB appointmentMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-23
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
-
2021-10-22
Survey response — 6 months, dose 2MedDRA: Office visit, Pregnancy — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnancy · Healthcare visit (other): OBGYNMedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-10-26
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-23 | Unsuccessful | |
| 2021-10-22 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Light headed
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Nightmares
Release 8 — day 42, dose 2
Symptoms: I have had a couple bad headaches and a migraine. I have chronic migraines, but haven't had any for a while (pregnancy related changes). I just included this information just in case.
Release 9 — 3 months, dose 2
Release 10 — 6 months, dose 2
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Nightmare | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release