5SE-30735-73798
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 626 / IL
- Registered
- 2021-09-18
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-17
Dose 1 — Moderna
-
2021-09-18
Registered in v-safe
- 2021-09-18
-
2021-09-19
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: PainFree text: Runny nose, sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-09-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, DiarrheaAdult check-in
-
2021-09-21
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea, Sneezing — Feeling: GoodFree text: Runny nose, sneezingMedDRA releases: 2024-11 · check-in free text available
-
2021-09-22
Survey response — days 1–6 daily, dose 1MedDRA: Muscle twitching — Feeling: GoodFree text: Twitching in the arm of injection site.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-23
- 2021-09-24
- 2021-10-01
- 2021-10-08
-
2021-10-15
Dose 2 — Moderna
- 2021-10-15
- 2021-10-16
- 2021-10-17
- 2021-10-18
-
2021-10-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
-
2021-10-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-10-21
- 2021-10-24
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2022-01-14
-
2022-04-15
Survey response — 6 months, dose 2MedDRA: Premature delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Premature deliveryMedDRA releases: 2024-11 · check-in free text available
-
2022-10-15
Survey response — 12 months, dose 2MedDRA: Premature delivery — Feeling: GoodFree text: Premature deliveryMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-17 | Moderna | No |
| 2 | 2021-10-15 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose, sore throat
Systemic reaction (other): Runny nose, sneezing
Systemic reaction (other): Twitching in the arm of injection site.
Release 11 — 6 months, dose 2
Symptoms: Premature delivery
Release 12 — 12 months, dose 2
Symptoms: Premature delivery
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 | Premature delivery | · | · | ✓ |
| SRO | Muscle twitching | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release