9JH-23694-14551
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 837 / ID
- Registered
- 2021-08-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-20
Registered in v-safe
-
2021-08-20
Dose 1 — Moderna
-
2021-08-20
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: I received the shot 3 hrs agoMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
-
2021-08-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-08-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-08-24
- 2021-08-25
- 2021-08-26
- 2021-08-29
- 2021-09-03
- 2021-09-10
-
2021-09-18
Dose 2 — Moderna
-
2021-09-18
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
-
2021-09-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-09-22
-
2021-09-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-09-24
- 2021-09-25
-
2021-10-02
Survey response — day 14, dose 2MedDRA: Headache, Injection site pain — Feeling: FairFree text: Headache and soreness at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-12-20
- 2022-03-19
-
2022-09-18
Survey response — 12 months, dose 2MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Runny nose, sore throat, headache, fatigue, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-09-18
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-20 | Moderna | No |
| 2 | 2021-09-18 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): I received the shot 3 hrs ago
Release 9 — day 14, dose 2
Symptoms: Headache and soreness at injection site
Release 12 — 12 months, dose 2
Symptoms: Runny nose, sore throat, headache, fatigue, cough
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 | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | No adverse event | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release