9G2-13672-56589
5 vaccinations
8 coded responses
63 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 941 / CA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
GLP-33421-62098
Child or adolescent in my care · Male · 2023-03-11
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · HeadacheFree text: I am on my period and I normally get headaches with my period (I don't think headache is vaccine related)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
- 2021-01-09
- 2021-01-12
-
2021-01-20
Survey response — day 14, dose 1MedDRA: Injection site erythema — Feeling: GoodFree text: Area of local erythema around vaccine site first noted on Sat 1/16 (1.5 weeks after vaccine)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · HeadacheAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
-
2021-02-17
Survey response — day 14, dose 2MedDRA: Aphthous ulcer — Feeling: GoodFree text: Canker sore on roof of mouth starting Thurs 2/11 (have never gotten them before)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
-
2021-08-04
Survey response — 6 months, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Might be pregnant not sure yet (will test next week)MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-12-10
Dose 3 — Moderna
- 2021-12-10
-
2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Breakthrough COVID-19 — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: I had breakthrough COVID starting on 9/19/21.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-17
- 2021-12-24
- 2021-12-31
-
2022-01-07
Survey response — day 28, dose 3MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I am pregnantMedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-01-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-14
Survey response — day 35, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: I am pregnantMedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
-
2022-03-11
Survey response — 3 months, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: I am pregnant (within 30 days of my booster). Would like to enroll in a study if I canMedDRA releases: 2024-11 · check-in free text available
-
2022-06-07
Dose 4 — Moderna
- 2022-06-07
-
2022-06-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-06-09
- 2022-06-10
- 2022-06-12
- 2022-06-13
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-07-19
- 2022-09-06
-
2022-10-14
Dose 5 — ModernaCo-administered: Flu
- 2022-10-14
-
2022-10-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
| 4 | 2022-06-07 | Moderna | No |
| 5 | 2022-10-14 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I am on my period and I normally get headaches with my period (I don't think headache is vaccine related)
Release 2 — day 14, dose 1
Symptoms: Area of local erythema around vaccine site first noted on Sat 1/16 (1.5 weeks after vaccine)
Release 4 — day 14, dose 2
Symptoms: Canker sore on roof of mouth starting Thurs 2/11 (have never gotten them before)
Release 9 — 6 months, dose 2
Symptoms: Might be pregnant not sure yet (will test next week)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had breakthrough COVID starting on 9/19/21.
Release 10 — day 28, dose 3
Symptoms: I am pregnant
Release 10 — day 35, dose 3
Symptoms: I am pregnant
Release 11 — 3 months, dose 3
Symptoms: I am pregnant (within 30 days of my booster). Would like to enroll in a study if I can
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 | Aphthous ulcer | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
| SRO | Breakthrough COVID-19 | · | · | ✓ |
| SRO | Headache | ○ | ○ | ○ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release