5XW-24384-01073
4 vaccinations
3 coded responses
38 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 972 / OR
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
H3X-16966-36459
Child or adolescent in my care · Male · 2022-06-28
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Headache, Fatigue or tirednessFree text: *i am very tired today but I also have an 8 week old so Im having a hard time ascertaining if its vaccine fatigue or parent-of-a-newborn fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness · HeadacheFree text: Warmth around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: Good · Site: PainFree text: Not feverish but I do get hot flashes with some frequency.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-19
- 2021-05-24
- 2021-07-12
- 2021-10-11
-
2021-11-16
Dose 3 — ModernaCo-administered: Flu
- 2022-04-12
-
2022-10-25
Dose 4 — ModernaCo-administered: Flu
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2022-12-06
- 2023-01-26
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-11-16 | Moderna | Flu |
| 4 | 2022-10-25 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): *i am very tired today but I also have an 8 week old so Im having a hard time ascertaining if its vaccine fatigue or parent-of-a-newborn fatigue
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Warmth around the injection site
Systemic reaction (other): Not feverish but I do get hot flashes with some frequency.
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 |
|---|---|---|---|---|
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release