4ML-26338-19942
1 vaccination
2 coded responses
8 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 088 / NJ
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
-
2021-03-04
Survey response — day 0, dose 1MedDRA: Asthenopia — Feeling: Good · HeadacheFree text: Eyes feel heavyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Pregnancy — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Some of the symptoms could be due toPregnancy not necessarily the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Eyes feel heavy
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Some of the symptoms could be due toPregnancy not necessarily the vaccine
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release