BLX-25040-24125
3 vaccinations
5 coded responses
25 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 960 / CA
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
52A-18175-53834
Adult relative or friend · Male · 2022-09-17
Timeline
-
2021-04-25
Registered in v-safe
-
2021-04-25
Dose 1 — Moderna
-
2021-04-25
Survey response — day 0, dose 1MedDRA: Migraine — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: MigraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Fair · Headache · Be unable to work, Be unable to do your normal daily activitiesFree text: A bruise at the injection sightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: Contusion — Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Bruising on my armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-09
-
2021-05-16
Dose 2 — Moderna
- 2021-05-16
- 2021-06-06
- 2021-06-15
- 2021-06-20
- 2021-06-27
-
2021-08-15
Survey response — 3 months, dose 2MedDRA: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I caught an upper respiratory infection. I went and got tested for COVID and it was negative. Its been 15 days and I still have a runny nose and congestion.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-15
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-23
-
2021-11-06
Dose 3 — Moderna
- 2021-11-14
-
2021-11-16
Health check-in — day 7, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-20
- 2022-02-05
- 2022-05-07
-
2022-11-06
Survey response — 12 months, dose 3MedDRA: Ear infection, Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have a sinus/ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-06
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-07
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-25 | Moderna | |
| 2 | 2021-05-16 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Migraine
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): A bruise at the injection sight
Systemic reaction (other): Bruising on my arm
Release 9 — 3 months, dose 2
Symptoms: I caught an upper respiratory infection. I went and got tested for COVID and it was negative. Its been 15 days and I still have a runny nose and congestion.
Release 12 — 12 months, dose 3
Symptoms: I have a sinus/ear infection
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 | Ear infection | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper respiratory tract infection | ✓ | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release