BJR-31587-06574
4 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 662 / KS
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-02-14
Registered in v-safe
-
2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, DiarrheaAdult check-in
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-22
- 2021-02-27
- 2021-03-08
- 2021-03-15
-
2021-03-17
Dose 2 — Moderna
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-03-31
Survey response — day 14, dose 2MedDRA: Lethargy — Feeling: FairFree text: Ongoing lethargyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
- 2021-04-23
-
2021-04-28
Survey response — day 42, dose 2MedDRA: Anxiety, Depression — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Increased depression and anxiety.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-16
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Became pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-15
-
2021-11-19
Dose 3 — ModernaCo-administered: Tetanus
-
2022-03-17
Survey response — 12 months, dose 2MedDRA: Delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Pregnancy and child birthMedDRA releases: 2024-11 · check-in free text available
-
2022-03-17
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-03-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-09-25
Dose 4 — Moderna
- 2022-10-20
- 2022-11-06
- 2022-12-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-11-19 | Moderna | Tetanus |
| 4 | 2022-09-25 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — day 14, dose 2
Symptoms: Ongoing lethargy
Release 8 — day 42, dose 2
Symptoms: Increased depression and anxiety.
Release 9 — 3 months, dose 2
Symptoms: Became pregnant
Release 11 — 12 months, dose 2
Symptoms: Pregnancy and child birth
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Depression | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release