9MP-70098-68403
4 vaccinations
6 coded responses
50 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 971 / OR
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
77V-99879-43212
Child or adolescent in my care · Male · 2022-07-12
M9D-15374-49796
Child or adolescent in my care · Male · 2022-07-27
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-16
-
2021-01-23
Survey response — day 21, dose 1MedDRA: Headache, Nausea — Feeling: FairFree text: Headache, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Dose 2 — Moderna
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Good · Site: PainFree text: Numbness in faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-12
Survey response — day 42, dose 2MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-30
-
2021-10-25
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-30
- 2021-11-03
-
2021-11-08
Survey response — day 14, dose 3MedDRA: Alanine aminotransferase increased, Nausea, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Nausea, vomiting, increased ALT lab levelsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2021-11-10
Call successfulCompleted over the phone
- 2021-11-17
- 2021-11-22
- 2021-12-01
- 2021-12-06
- 2022-01-24
- 2022-04-25
-
2022-10-04
Dose 4 — ModernaCo-administered: Flu
-
2022-10-04
Health check-in — day 0, dose 4Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
-
2022-10-05
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-10-06
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
-
2022-11-17
Survey response — day 42, dose 4MedDRA: Headache — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-10-04 | Moderna | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — day 21, dose 1
Symptoms: Headache, nausea
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Numbness in face
Release 5 — day 42, dose 2
Symptoms: Headache
Release 8 — 3 months, dose 2
Symptoms: Joint pain
Release 10 — day 14, dose 3
Symptoms: Nausea, vomiting, increased ALT lab levels
Release 12 — day 42, dose 4
Symptoms: Headache
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 | Alanine aminotransferase increased | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release