894-78717-19931
4 vaccinations
10 coded responses
52 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 208 / MD
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
STJ-10232-53757
Child or adolescent in my care · Male · 2023-04-29
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Good · Site: PainFree text: Mild stuffy/runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
-
2021-04-08
Survey response — day 21, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Mild itching around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Thirst — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Increased thirstMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesFree text: Pain in armpit (lymph node?) of injection arm; injection site feels hotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
-
2021-07-15
Survey response — 3 months, dose 2MedDRA: Dysgeusia, Menstruation irregular — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Menstrual cycle began one week early last month. Development of bitter taste in mouth for about 6 weeks, no other obvious symptoms. Possible sinus infection but no noticeable congestion.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-15
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
- 2021-08-05
- 2021-08-19
- 2021-08-24
-
2021-09-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-15
-
2021-11-22
Dose 3 — Moderna
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Injection site warmth — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Injection site feels warm.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessFree text: Sore lymph nodes under injection armMedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Mild soreness in armpit lymph node of injection armMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-02-21
-
2022-05-23
Survey response — 6 months, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Dose 4 — Moderna
- 2022-10-22
- 2022-10-23
-
2022-10-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-10-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-10-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Itching · HeadacheAdult check-in
- 2022-10-27
- 2022-10-28
-
2022-11-04
Survey response — day 14, dose 4MedDRA: Breast feeding, Postpartum state — Feeling: GoodFree text: Period started 5.5 weeks post partum while breastfeeding. Almost 2 weeks after vaccination.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2023-01-21
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-10-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Mild stuffy/runny nose
Release 7 — day 21, dose 1
Symptoms: Mild itching around injection site
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Increased thirst
Systemic reaction (other): Pain in armpit (lymph node?) of injection arm; injection site feels hot
Release 9 — 3 months, dose 2
Symptoms: Menstrual cycle began one week early last month. Development of bitter taste in mouth for about 6 weeks, no other obvious symptoms. Possible sinus infection but no noticeable congestion.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Injection site feels warm.
Systemic reaction (other): Sore lymph nodes under injection arm
Systemic reaction (other): Mild soreness in armpit lymph node of injection arm
Release 11 — 6 months, dose 3
Symptoms: Pregnancy
Release 12 — day 14, dose 4
Symptoms: Period started 5.5 weeks post partum while breastfeeding. Almost 2 weeks after vaccination.
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 | Breast feeding | · | · | ✓ |
| SD | Dysgeusia | ✓ | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | · | ✓ |
| SD | Postpartum state | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release