9W4-14277-01202
4 vaccinations
11 coded responses
53 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 790 / TX
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-12
Dose 1 — Moderna
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2021-02-13
Registered in v-safe
- 2021-02-13
- 2021-02-14
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2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · HeadacheAdult check-in
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: Pain · FeverFree text: Not sure if it is related, but I've been itchy since I've had my vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
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2021-03-12
Dose 2 — Moderna
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2021-03-12
Survey response — day 0, dose 2MedDRA: Immediate post-injection reaction, Paraesthesia, Vaccine positive rechallenge — Feeling: Good · Site: Pain · FeverFree text: 45min after shot my hand tingled for about 5 mins. The same thing happened for the first shot but it happened 15 mins after the shot lasting 5 mins too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
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2021-03-26
Survey response — day 14, dose 2MedDRA: Headache, Injection site warmth — Feeling: FairFree text: Headaches for the last 3 days, mild fever of 99.1 on first day of headache and the injection area warmer than the rest of my arm of the first day of headache. I'm currently menstruating, but headaches are not normal reaction for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-10
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2021-11-01
Dose 3 — Moderna
- 2021-11-01
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Sore under armpit since injection. Mild nowMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Armpit hurtsMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Armpit hurtsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
- 2022-05-02
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2022-07-14
Dose 4 — Moderna
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2022-07-15
Survey response — days 1–6 daily, dose 4MedDRA: Nausea, Pregnancy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Nausea is likely from pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-07-16
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Fatigue and nausea due to pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-07-17
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-07-18
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-07-19
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness, NauseaFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-07-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2022-07-21
- 2022-07-28
- 2022-08-04
- 2022-08-11
- 2022-08-18
- 2022-08-25
- 2022-10-13
- 2023-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-07-14 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Not sure if it is related, but I've been itchy since I've had my vaccination.
Release 5 — day 0, dose 2
Systemic reaction (other): 45min after shot my hand tingled for about 5 mins. The same thing happened for the first shot but it happened 15 mins after the shot lasting 5 mins too.
Release 6 — day 14, dose 2
Symptoms: Headaches for the last 3 days, mild fever of 99.1 on first day of headache and the injection area warmer than the rest of my arm of the first day of headache. I'm currently menstruating, but headaches are not normal reaction for me.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore under armpit since injection. Mild now
Systemic reaction (other): Armpit hurts
Systemic reaction (other): Armpit hurts
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Nausea is likely from pregnancy
Systemic reaction (other): Fatigue and nausea due to pregnancy
Systemic reaction (other): Pregnancy
Systemic reaction (other): Pregnancy
Systemic reaction (other): 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 | Headache | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release