8ZU-27928-50139
3 vaccinations
5 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 152 / PA
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-09
Dose 1 — Moderna
-
2021-04-01
Registered in v-safe
- 2021-04-01
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2021-04-06
Dose 2 — Moderna
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Premature labour — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: My water broke 10 hours after receiving this shot. I was 36 weeks exactlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-07-06
- 2021-10-07
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2021-12-10
Dose 3 — Moderna
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2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Intermittent shooting pains deep in R thighMedDRA releases: 2024-11 · check-in free text available
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2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-12-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-12-14
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaFree text: Felt vaguely faint all day today, as I have since getting the shotMedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
- 2021-12-18
- 2021-12-24
- 2022-01-02
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2022-01-07
Survey response — day 28, dose 3MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: Possible COVID symptoms (sore throat, runny nose, headache). Not able to get a PCR test for a full week because demand is so high.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
- 2022-01-23
- 2022-03-11
- 2022-06-10
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2022-12-10
Survey response — 12 months, dose 3MedDRA: Headache, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend schoolFree text: I have 2 negative COVID tests over the last 48h but currently have sore throat, stuffy nose, and headache.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My water broke 10 hours after receiving this shot. I was 36 weeks exactly
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Intermittent shooting pains deep in R thigh
Systemic reaction (other): Felt vaguely faint all day today, as I have since getting the shot
Release 10 — day 28, dose 3
Symptoms: Possible COVID symptoms (sore throat, runny nose, headache). Not able to get a PCR test for a full week because demand is so high.
Release 12 — 12 months, dose 3
Symptoms: I have 2 negative COVID tests over the last 48h but currently have sore throat, stuffy nose, and headache.
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 | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Premature labour | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release