9LM-24357-33274
3 vaccinations
3 coded responses
28 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 990 / WA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: Swelling · HeadacheFree text: TiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-20
Dose 2 — Moderna
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Head fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2021-08-21
-
2021-11-27
Dose 3 — Moderna
- 2022-02-20
- 2022-05-28
-
2022-11-27
Survey response — 12 months, dose 3MedDRA: Cough, Headache, Oropharyngeal pain, Pregnancy, Pyrexia, Respiratory tract congestion — Feeling: Poor · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Sore throat, congestion, fever, headache, cough · Healthcare visit (other): 9 months pregnantMedDRA releases: 2024-11 · check-in free text available
-
2022-11-27
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-11-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Tired
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Head fog
Release 12 — 12 months, dose 3
Symptoms: Sore throat, congestion, fever, headache, cough
Healthcare visit (other): 9 months pregnant
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 |
|---|---|---|---|---|
| HCVO | Pregnancy | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release