96E-37962-27193
3 vaccinations
7 coded responses
31 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 029 / RI
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
M4J-58855-62120
Child or adolescent in my care · Female · 2022-02-10
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
-
2021-01-22
Survey response — day 0, dose 1MedDRA: Breast feeding, Unevaluable event — Feeling: Fair · Chills, NauseaFree text: Breastfed baby vomited the first milk she ate post-vaccination which is not typical of her.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Poor feeding infant, Vomiting — Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaFree text: Breastfed infant vomited again today (not typically one to vomit but has twice since my vaccine)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Nervousness, Tremor — Feeling: Good · Muscle or body achesFree text: Felt more shaky or weak rather than muscle achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-06
- 2021-02-13
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Vaginal haemorrhage — Feeling: Good · Site: PainFree text: Unexpected vaginal bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Vaginal haemorrhage — Feeling: Good · Site: PainFree text: Unexpected vaginal bleeding remainsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-26
- 2021-03-05
- 2021-03-12
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2021-03-19
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Feeling abnormal, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Have had an intermittent pain in my left upper abdominal region for a couple weeks now (initially thought muscular) but started with loose stools on Tuesday. Have been feeling a little 'off.' MD via telehealth visit said possible gastritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-26
- 2021-04-02
-
2021-05-23
Survey response — 3 months, dose 2MedDRA: Abdominal pain, Heart rate increased, Malaise, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: General feeling of unwell; still with left upper abdominal pain at times. Feel as though my heart rate has been quick to increase. · Healthcare visit (other): In-person visit with primary care providerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-23
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-22
- 2021-12-30
-
2022-01-20
Dose 3 — Moderna
- 2022-02-10
- 2022-02-18
- 2022-02-26
- 2022-03-03
- 2022-04-22
- 2022-07-22
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2022-01-20 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Breastfed baby vomited the first milk she ate post-vaccination which is not typical of her.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Breastfed infant vomited again today (not typically one to vomit but has twice since my vaccine)
Systemic reaction (other): Felt more shaky or weak rather than muscle aches
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Unexpected vaginal bleeding
Systemic reaction (other): Unexpected vaginal bleeding remains
Release 6 — day 28, dose 2
Symptoms: Have had an intermittent pain in my left upper abdominal region for a couple weeks now (initially thought muscular) but started with loose stools on Tuesday. Have been feeling a little 'off.' MD via telehealth visit said possible gastritis.
Release 8 — 3 months, dose 2
Symptoms: General feeling of unwell; still with left upper abdominal pain at times. Feel as though my heart rate has been quick to increase.
Healthcare visit (other): In-person visit with primary care provider
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Breast feeding | · | · | ✓ |
| SRO | Nervousness | ✓ | · | ✓ |
| SRO | Poor feeding infant | ✓ | ✓ | ✓ |
| SRO | Tremor | ○ | ✓ | ○ |
| SRO | Unevaluable event | ✓ | ✓ | ○ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release