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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

  1. 2021-03-09
    Dose 1 — Moderna
  2. 2021-04-01
    Registered in v-safe
  3. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-06
    Dose 2 — Moderna
  5. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Premature labour — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: My water broke 10 hours after receiving this shot. I was 36 weeks exactly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-07-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-12-10
    Dose 3 — Moderna
  10. 2021-12-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: 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 activities
    Free text: Intermittent shooting pains deep in R thigh
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: 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 activities
    Adult check-in
  12. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-12-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea
    Free text: Felt vaguely faint all day today, as I have since getting the shot
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  15. 2021-12-18
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  16. 2021-12-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-02
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-01-07
    Survey response — day 28, dose 3
    MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  19. 2022-01-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-01-23
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-03-11
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-06-10
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-12-10
    Survey response — 12 months, dose 3
    MedDRA: Headache, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school
    Free 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

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-06Moderna
32021-12-10Moderna No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

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

2021-12-11

Systemic reaction (other): Intermittent shooting pains deep in R thigh

2021-12-14

Systemic reaction (other): Felt vaguely faint all day today, as I have since getting the shot

Release 10 — day 28, dose 3

2022-01-07

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

2022-12-10

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

FieldPreferred term2021-092023-042024-11
SDHeadache · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUnevaluable event · · ✓
SRODizziness · · ✓
SROPain · · ✓
SROPain in extremity · · ✓
SROPremature labour ✓ ✓ ✓

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