99D-13978-29640
3 vaccinations
6 coded responses
29 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 502 / IA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Temp 99.4 but have not felt feverishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
-
2021-04-06
Survey response — day 14, dose 1MedDRA: Injection site erythema, Petechiae — Feeling: GoodFree text: Reddness around injection site and petechiae anterior shoulder and chest started 7 days after vaccine. Reddness is resolved. Petechiae still presentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Survey response — day 21, dose 1MedDRA: Pregnancy — Feeling: Good · Be unable to workFree text: Gave birth at 39+ weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-29
- 2021-06-05
- 2021-10-21
-
2021-10-29
Dose 3 — Moderna
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Breast pain, Hyperhidrosis — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Breast pain on side vaccine was given. SweatsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-14
-
2021-11-21
Survey response — day 21, dose 3MedDRA: Breast feeding, Fungal skin infection — Feeling: GoodFree text: Yeast infection of nipples (still breastfeeding)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Survey response — day 42, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diffuse lymphadenopathyMedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Temp 99.4 but have not felt feverish
Release 7 — day 14, dose 1
Symptoms: Reddness around injection site and petechiae anterior shoulder and chest started 7 days after vaccine. Reddness is resolved. Petechiae still present
Release 7 — day 21, dose 1
Symptoms: Gave birth at 39+ weeks
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Breast pain on side vaccine was given. Sweats
Release 10 — day 21, dose 3
Symptoms: Yeast infection of nipples (still breastfeeding)
Release 10 — day 42, dose 3
Symptoms: Diffuse lymphadenopathy
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 | Fungal skin infection | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Petechiae | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Breast pain | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release