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AE4-32085-93622

2 vaccinations 2 coded responses 5 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
16-20
ZIP prefix
980 / WA
Registered
2021-06-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-26
    Dose 1 — Moderna
  2. 2021-06-25
    Dose 2 — Moderna
  3. 2021-06-26
    Registered in v-safe
  4. 2021-06-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Good · Site: Pain · Nausea
    Free text: Moderate insomnia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness, Nausea, Vomiting
    Free text: I have hypermesis gravardum, which triggered the nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-06-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-07-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-26Moderna No
22021-06-25Moderna No

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-27

Systemic reaction (other): Moderate insomnia

2021-06-28

Systemic reaction (other): I have hypermesis gravardum, which triggered the nausea

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

FieldPreferred term2021-092023-042024-11
SROInsomnia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release