ACN-30093-43149
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 981 / WA
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Moderna
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Dry eye — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Dry eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Dry eye — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Dry eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
-
2021-02-27
Survey response — day 21, dose 2MedDRA: Fatigue, Feeling abnormal, Headache — Feeling: FairFree text: Frequent morning headache, brain fog, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — day 28, dose 2MedDRA: Fatigue, Headache — Feeling: FairFree text: Fatigue, headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — day 35, dose 2MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headache, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Survey response — day 42, dose 2MedDRA: Depressed mood, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue. Low mood.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-09
-
2022-02-06
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: Fair · 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
-
2022-02-06
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)
- 2022-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Dry eye
Systemic reaction (other): Dry eyes
Release 4 — day 21, dose 2
Symptoms: Frequent morning headache, brain fog, fatigue
Release 5 — day 28, dose 2
Symptoms: Fatigue, headache
Release 5 — day 35, dose 2
Symptoms: Headache, fatigue
Release 6 — day 42, dose 2
Symptoms: Fatigue. Low mood.
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 | Depressed mood | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release