9NM-21599-58143
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 745 / OK
- Registered
- 2021-08-13
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-13
Registered in v-safe
-
2021-08-13
Dose 1 — Moderna
-
2021-08-13
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-08-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-08-15
- 2021-08-16
- 2021-08-17
- 2021-08-18
- 2021-08-20
-
2021-08-27
Survey response — day 14, dose 1MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Body achesMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-03
-
2021-09-10
Dose 2 — Moderna
-
2021-09-10
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-13
-
2021-09-14
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain — Feeling: Good · Muscle or body achesFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
- 2021-09-16
- 2021-09-19
-
2021-09-24
Survey response — day 14, dose 2MedDRA: Chest pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
-
2021-09-24
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-09-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-01
- 2021-10-08
- 2021-10-17
- 2021-10-22
- 2021-12-10
-
2022-03-11
Survey response — 6 months, dose 2MedDRA: COVID-19 — 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 · Outpatient clinic or urgent care clinic visitFree text: COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-03-11
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-14
-
2022-09-12
Survey response — 12 months, dose 2MedDRA: Influenza — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: FluMedDRA releases: 2024-11 · check-in free text available
-
2022-09-12
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-09-13
- 2022-09-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-13 | Moderna | No |
| 2 | 2021-09-10 | Moderna | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 9 — day 14, dose 1
Symptoms: Body aches
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Chest pain
Release 9 — day 14, dose 2
Symptoms: Chest pain
Release 11 — 6 months, dose 2
Symptoms: COVID
Release 12 — 12 months, dose 2
Symptoms: Flu
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 | Chest pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release