69B-27556-58617
3 vaccinations
8 coded responses
28 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 432 / OH
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
X3Y-70977-20325
Child or adolescent in my care · Male · 2022-08-04
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding — Feeling: Good · Site: PainFree text: I am breastfeeding. So far everything has been fine for me and my 3 week old baby.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding — Feeling: Good · Site: PainFree text: Still breastfeeding, no issues with me or baby.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding — Feeling: GoodFree text: Breastfeeding, everything fine with me and baby.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Breast feeding — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I am breastfeeding and baby seems to be feeling fine. Has not affected milk supply.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Breast feeding — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Breastfeeding, baby doing well, milk supply unaffectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Breast feeding — Feeling: Good · Site: PainFree text: Breastfeeding and baby has been fine, milk supply not affectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Breast feeding — Feeling: Good · Site: PainFree text: Breastfeeding, baby doing well, not affected supplyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-20
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-07
-
2021-11-19
Dose 3 — Moderna
-
2022-02-04
Survey response — 12 months, dose 2MedDRA: Fatigue, Nasal congestion, Pain — Feeling: FairFree text: Stuffy nose, aches, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-05-22
- 2022-11-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I am breastfeeding. So far everything has been fine for me and my 3 week old baby.
Systemic reaction (other): Still breastfeeding, no issues with me or baby.
Systemic reaction (other): Breastfeeding, everything fine with me and baby.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I am breastfeeding and baby seems to be feeling fine. Has not affected milk supply.
Systemic reaction (other): Breastfeeding, baby doing well, milk supply unaffected
Systemic reaction (other): Breastfeeding and baby has been fine, milk supply not affected
Systemic reaction (other): Breastfeeding, baby doing well, not affected supply
Release 11 — 12 months, dose 2
Symptoms: Stuffy nose, aches, fatigue
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 | Fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Exposure via breast milk | ○ | ○ | ○ |
| SRO | Maternal exposure during breast feeding | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release