4NS-31821-68722
3 vaccinations
4 coded responses
9 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 478 / IN
- Registered
- 2021-12-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Moderna
-
2021-05-11
Dose 2 — Moderna
-
2021-12-09
Dose 3 — Moderna
-
2021-12-14
Registered in v-safe
-
2021-12-14
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: I am 21 weeks pregnant. Could be related to pregnancy only.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
-
2021-12-16
Survey response — day 7, dose 3MedDRA: Pregnancy — Feeling: Fair · Fever · Chills, Muscle or body aches, Nausea, Vomiting, Abdominal painFree text: 21 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Survey response — day 14, dose 3MedDRA: Brain fog, Oropharyngeal pain — Feeling: FairFree text: Sore throat, foggy head.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
-
2022-01-06
Survey response — day 28, dose 3MedDRA: Cough, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, sore throat, headache/head congestion, body aches.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-13
- 2022-01-20
- 2022-06-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | No |
| 2 | 2021-05-11 | Moderna | No |
| 3 | 2021-12-09 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I am 21 weeks pregnant. Could be related to pregnancy only.
Release 10 — day 7, dose 3
Systemic reaction (other): 21 weeks pregnant
Release 10 — day 14, dose 3
Symptoms: Sore throat, foggy head.
Release 10 — day 28, dose 3
Symptoms: Cough, sore throat, headache/head congestion, body aches.
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 | Brain fog | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release