9TW-79512-74436
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 030 / NH
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Irritability, Mood altered, Mood swings — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Irritability and moodinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-29
- 2021-02-08
- 2021-02-13
-
2021-02-20
Survey response — day 28, dose 1MedDRA: Muscle spasms — Feeling: FairFree text: Muscle spasmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Dose 2 — Moderna
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-31
- 2021-04-05
- 2021-05-26
-
2021-08-23
Survey response — 6 months, dose 2MedDRA: Blood uric acid increased — Feeling: GoodFree text: High Uric acidMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-22
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-02-22
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Irritability and moodiness
Release 4 — day 28, dose 1
Symptoms: Muscle spasm
Release 9 — 6 months, dose 2
Symptoms: High Uric acid
Release 11 — 12 months, dose 2
Symptoms: Pregnancy
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 | Blood uric acid increased | ✓ | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Mood altered | ✓ | · | ✓ |
| SRO | Mood swings | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release