8EF-33628-86264
3 vaccinations
3 coded responses
30 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 009 / PR
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body achesAdult check-in
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches, DiarrheaAdult check-in
- 2021-01-18
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-20
- 2021-02-26
- 2021-03-07
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
-
2021-12-06
Dose 3 — ModernaCo-administered: Flu
-
2021-12-10
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Fair · Site: ItchingFree text: Menstrual BleedingMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-12
- 2022-01-17
- 2022-03-07
-
2022-06-06
Survey response — 6 months, dose 3MedDRA: Abdominal pain, Heart rate increased — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Abdominal Pain Acute, High Heart Beat RateMedDRA releases: 2024-11 · check-in free text available
-
2022-06-06
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-07
-
2022-12-06
Survey response — 12 months, dose 3MedDRA: Malaise, Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I'm pregnant and sickMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-12-06 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Menstrual Bleeding
Release 11 — 6 months, dose 3
Symptoms: Abdominal Pain Acute, High Heart Beat Rate
Release 12 — 12 months, dose 3
Symptoms: I'm pregnant and sick
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 | Abdominal pain | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release