9C2-15780-84303
4 vaccinations
10 coded responses
55 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 971 / OR
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
SF3-20345-01934
Child or adolescent in my care · Male · 2022-12-08
Timeline
-
2021-02-08
Registered in v-safe
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2021-02-08
Dose 1 — Moderna
-
2021-02-08
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Heart rate increased, Sensitive skin — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Increased heart rate, dizziness, skin sensitive to touch (painful)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-06-07
Survey response — 3 months, dose 2MedDRA: Intervertebral disc protrusion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Slipped lumbar discMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-05
- 2021-09-06
-
2021-09-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity, Pregnancy — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: With the exception of the arm pain, it just feels like it's exacerbating my existing pregnancy symptomsMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Pregnancy — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I'm having these symptoms because I'm pregnantMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Good · Headache, Joint pains, Fatigue or tirednessFree text: Symptoms are due to pregnancyMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose decreased, Gestational diabetes — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Low blood sugar due to gestational diabetesMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Fair · Headache, Fatigue or tiredness, NauseaFree text: Seems to be pregnancy related.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-03
- 2021-12-08
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2022-01-26
Survey response — 3 months, dose 3MedDRA: Diarrhoea, Nasopharyngitis, Pregnancy, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: A cold (negative COVID tests), dizziness associated with pregnancy, hemorrhoids associated with pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-27
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2022-10-20
Dose 4 — Moderna
- 2022-10-20
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2022-10-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint painsAdult check-in
-
2022-10-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2022-10-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2022-10-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · HeadacheAdult check-in
-
2022-10-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-10-26
- 2022-10-27
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2022-11-03
Survey response — day 14, dose 4MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have a cold. Sore throat, congestion, slight cough, no fever, two negative rapid COVID tests.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-10-20 | Moderna | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Increased heart rate, dizziness, skin sensitive to touch (painful)
Systemic reaction (other): Dizziness
Release 8 — 3 months, dose 2
Symptoms: Slipped lumbar disc
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): With the exception of the arm pain, it just feels like it's exacerbating my existing pregnancy symptoms
Systemic reaction (other): I'm having these symptoms because I'm pregnant
Systemic reaction (other): Symptoms are due to pregnancy
Systemic reaction (other): Low blood sugar due to gestational diabetes
Systemic reaction (other): Seems to be pregnancy related.
Release 11 — 3 months, dose 3
Symptoms: A cold (negative COVID tests), dizziness associated with pregnancy, hemorrhoids associated with pregnancy
Release 12 — day 14, dose 4
Symptoms: I have a cold. Sore throat, congestion, slight cough, no fever, two negative rapid COVID tests.
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Intervertebral disc protrusion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Blood glucose decreased | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Gestational diabetes | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release