4VG-10936-08838
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 000
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-13
-
2021-02-18
Dose 2 — Moderna
-
2021-02-25
Survey response — day 7, dose 2MedDRA: Chills, Pain, Pyrexia — Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: I had my shot a week ago. About 24 hours after my shot I had a low grade fever, aches, and chills for about 12-18 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
- 2021-03-20
- 2021-04-01
- 2021-05-20
-
2021-08-19
Survey response — 6 months, dose 2MedDRA: Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pregnancy, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a cold that lasted about five days. I had a headache, stuffy/runny nose, and sore throat. I did not get a fever. I also am 15 weeks pregnant (I cant remember if I reported this during my last check in).MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-18
Survey response — 12 months, dose 2MedDRA: Delivery — Feeling: GoodFree text: I gave birth to a healthy baby in February 2022.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Free text
Release 4 — day 7, dose 2
Systemic reaction (other): I had my shot a week ago. About 24 hours after my shot I had a low grade fever, aches, and chills for about 12-18 hours.
Release 9 — 6 months, dose 2
Symptoms: I had a cold that lasted about five days. I had a headache, stuffy/runny nose, and sore throat. I did not get a fever. I also am 15 weeks pregnant (I cant remember if I reported this during my last check in).
Release 11 — 12 months, dose 2
Symptoms: I gave birth to a healthy baby in February 2022.
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 | Delivery | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release