535-31765-73916
3 vaccinations
4 coded responses
19 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 020 / MA
- Registered
- 2021-05-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-05-08
Dose 1 — Moderna
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2021-05-09
Registered in v-safe
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2021-05-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
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2021-05-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tiredness, NauseaAdult check-in
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2021-05-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
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2021-05-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
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2021-05-13
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: I just found out I am 5 weeks pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Nausea, Pregnancy — Feeling: Good · Fatigue or tiredness, NauseaFree text: Nausea & fatigue are likely due to early pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
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2021-05-22
Survey response — day 14, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Survey response — day 28, dose 1MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: I've had a really bad cold with a lot of chest congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-19
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2021-08-03
Dose 2 — Moderna
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2021-08-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-08-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-08-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-08-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-08-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-08-10
Health check-in — day 7, dose 2Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness, NauseaAdult check-in
- 2021-09-14
- 2021-11-04
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2022-01-08
Dose 3 — Moderna
- 2022-07-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-08 | Moderna | |
| 2 | 2021-08-03 | Moderna | No |
| 3 | 2022-01-08 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): I just found out I am 5 weeks pregnant.
Systemic reaction (other): Nausea & fatigue are likely due to early pregnancy
Release 8 — day 14, dose 1
Symptoms: Pregnancy
Release 8 — day 28, dose 1
Symptoms: I've had a really bad cold with a lot of chest congestion.
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 | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release