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6TU-11006-48945

3 vaccinations 10 coded responses 39 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
541 / WI
Registered
2021-03-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-22
    Registered in v-safe
  2. 2021-03-22
    Dose 1 — Moderna
  3. 2021-03-22
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast feeding, Suppressed lactation — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Currently breastfeeding and decreased milk supply on same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-03-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-05
    Survey response — day 14, dose 1
    MedDRA: Immunisation reaction, Injection site pruritus, Injection site rash, Injection site swelling — Feeling: Good
    Free text: Developed covid arm at day 8 that lasted through day 10 - red swollen itching at injection site with raised bump
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-19
    Dose 2 — Moderna
  14. 2021-04-19
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Loss of appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Suppressed lactation — Feeling: Good · Site: Pain
    Free text: Decrease in milk supply output - exclusively pumping breastmilk
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast feeding — Feeling: Good · Site: Redness
    Free text: Significant breastmilk output decrease, 3 days now of 8oz a day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Continued decrease in breast milk output
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Suppressed lactation — Feeling: Good
    Free text: Breastmilk output decrease by 8oz a day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lactation insufficiency — Feeling: Good
    Free text: Decrease in breastmilk output
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-26
    Survey response — day 7, dose 2
    MedDRA: Lactation disorder — Feeling: Good
    Free text: Continued breastmilk output decrease
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-05
    Survey response — day 14, dose 2
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Cold symptoms with negative covid test
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-08
    Dose 3 — Pfizer-BioNTech
  30. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  31. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  32. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  34. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-15
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-22
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-06
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-13
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  40. 2021-12-20
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-05-09
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  43. 2022-11-08
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-19Moderna
32021-11-08Pfizer-BioNTech No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Currently breastfeeding and decreased milk supply on same side as injection

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Developed covid arm at day 8 that lasted through day 10 - red swollen itching at injection site with raised bump

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Loss of appetite

2021-04-21

Systemic reaction (other): Decrease in milk supply output - exclusively pumping breastmilk

2021-04-22

Systemic reaction (other): Significant breastmilk output decrease, 3 days now of 8oz a day

2021-04-23

Systemic reaction (other): Continued decrease in breast milk output

2021-04-24

Systemic reaction (other): Breastmilk output decrease by 8oz a day

2021-04-25

Systemic reaction (other): Decrease in breastmilk output

Release 8 — day 7, dose 2

2021-04-26

Systemic reaction (other): Continued breastmilk output decrease

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Cold symptoms with negative covid test

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

FieldPreferred term2021-092023-042024-11
SDImmunisation reaction ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SROBreast feeding ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROLactation disorder ✓ ✓ ✓
SROLactation insufficiency ✓ ✓ ✓
SROSuppressed lactation ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release