ARD-97871-46493
2 vaccinations
8 coded responses
24 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-16
Dose 1 — Moderna
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2021-03-18
Registered in v-safe
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Dyspnoea, Palpitations, Pyrexia, Tremor, Trismus — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: On Day 1 03/16/2021 and 03/17/2021 Fever 101.0, Chills uncontrollably shaking, lock jaw, heart palpitations, shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professionalno matching call case
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-23
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-30
- 2021-04-06
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2021-04-13
Dose 2 — Moderna
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2021-04-13
Survey response — day 0, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: History of Asthma & Iron deficit AnemiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Coughing and congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 7, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Coughing & congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-14
- 2021-10-12
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2022-04-15
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Call center
1 check-in flagged for a call with no call center case on record
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): On Day 1 03/16/2021 and 03/17/2021 Fever 101.0, Chills uncontrollably shaking, lock jaw, heart palpitations, shortness of breath
Release 7 — day 0, dose 2
Systemic reaction (other): History of Asthma & Iron deficit Anemia
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Coughing
Systemic reaction (other): Coughing
Systemic reaction (other): Coughing
Systemic reaction (other): Coughing and congestion
Release 7 — day 7, dose 2
Systemic reaction (other): Coughing & congestion
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 | Pregnancy | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Trismus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release