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9DE-27853-93449

2 vaccinations 6 coded responses 9 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
935 / CA
Registered
2021-04-14
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-17
    Dose 1 — Moderna
  2. 2021-04-14
    Registered in v-safe
  3. 2021-04-14
    Dose 2 — Moderna
  4. 2021-04-14
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  8. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Headache
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-05
    Survey response — day 21, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Exhausted and tired these this week or so, but cuz of helping with a wedding and doing a bachelorette. Also have a 1 year old who's been teething and fussing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-14
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-10-14
    Survey response — 6 months, dose 2
    MedDRA: Memory impairment, Pregnancy — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Tired often. Nauseous. But, I am 2 mnths pregnant, so it's probably from the pregnancy rather than the shot. Do seem to be having more and more trouble with memory, but may also be from the pregnancy.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-14Moderna

Free text

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): No

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): No

2021-04-19

Systemic reaction (other): No

2021-04-20

Systemic reaction (other): No

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Exhausted and tired these this week or so, but cuz of helping with a wedding and doing a bachelorette. Also have a 1 year old who's been teething and fussing.

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Tired often. Nauseous. But, I am 2 mnths pregnant, so it's probably from the pregnancy rather than the shot. Do seem to be having more and more trouble with memory, but may also be from the pregnancy.

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
SDFatigue ✓ ✓ ✓
SDMemory impairment · · ✓
SDPregnancy · · ✓
SRONo adverse event ✓ ✓ ✓

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