4TL-29030-95914
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 640 / MO
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain lower, Back pain — Feeling: Good · Abdominal painFree text: Lower abdominal pain and back pain but might not be vaccine relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
- 2021-01-04
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Axillary painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Pain in extremity — Feeling: Fair · Joint painsFree text: Arm pain and axillary painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-07
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-07
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-14
- 2021-01-21
-
2021-01-25
Dose 2 — Moderna
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-26
- 2021-07-26
-
2022-01-25
Survey response — 12 months, dose 2MedDRA: COVID-19, Pregnancy — Feeling: GoodFree text: I had covid end of December. I got pregnant twice.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-07 | priority 2/3 |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Lower abdominal pain and back pain but might not be vaccine related
Systemic reaction (other): Axillary pain
Systemic reaction (other): Arm pain and axillary pain
Release 11 — 12 months, dose 2
Symptoms: I had covid end of December. I got pregnant twice.
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 | COVID-19 | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Abdominal pain lower | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release