9Z3-31877-87819
2 vaccinations
5 coded responses
5 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 191 / PA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Moderna
-
2021-03-26
Registered in v-safe
-
2021-03-26
Survey response — day 7, dose 1MedDRA: Adverse reaction, First trimester pregnancy, Pregnancy — Feeling: GoodFree text: First trimester like sometimes 12 hours after the shot that lasted approximately 36 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Survey response — day 21, dose 1MedDRA: Fatigue, Nausea — Feeling: FairFree text: unusual deep fatigue last night into today. also please document my first trimester like nausea after shot 1: occurred 18 hrs after shot. immediate nauseau and sickness lasted 36 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Dose 2 — Moderna
-
2021-04-15
Survey response — day 0, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: these symptoms were for day 1 and were mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: diarrhea stomach painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-15
Survey response — 3 months, dose 2MedDRA: Angina pectoris, Stress — Feeling: PoorFree text: I dont know if its related but Ive been having some heart pain over the past week. Its been really stressful tooMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): First trimester like sometimes 12 hours after the shot that lasted approximately 36 hours
Release 7 — day 21, dose 1
Symptoms: unusual deep fatigue last night into today. also please document my first trimester like nausea after shot 1: occurred 18 hrs after shot. immediate nauseau and sickness lasted 36 hours
Release 7 — day 0, dose 2
Systemic reaction (other): these symptoms were for day 1 and were mild
Release 8 — day 14, dose 2
Symptoms: diarrhea stomach pain
Release 9 — 3 months, dose 2
Symptoms: I dont know if its related but Ive been having some heart pain over the past week. Its been really stressful too
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Angina pectoris | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Stress | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | First trimester pregnancy | ○ | ✓ | ○ |
| SRO | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release