BQH-28614-92267
3 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 782 / TX
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Moderna
- 2021-04-02
-
2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Breast feeding — Feeling: Good · Site: PainFree text: While I dont think its related, Im breastfeeding and my 8 month old has had diarrhea for 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
- 2021-04-09
-
2021-04-16
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site reaction — Feeling: GoodFree text: I had a reaction at the shot sight on my arm. It was red and a burning sensation. It cleared up after 2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
-
2021-04-30
Dose 2 — Moderna
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-07-30
- 2021-10-29
-
2021-12-22
Dose 3 — Moderna
-
2022-04-30
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-06-22
Survey response — 6 months, dose 3MedDRA: 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 · HospitalizationFree text: Had babyMedDRA releases: 2024-11 · check-in free text available
-
2022-06-22
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2022-06-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2021-12-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): While I dont think its related, Im breastfeeding and my 8 month old has had diarrhea for 24 hours
Release 7 — day 14, dose 1
Symptoms: I had a reaction at the shot sight on my arm. It was red and a burning sensation. It cleared up after 2 days.
Release 11 — 12 months, dose 2
Symptoms: COVID
Release 12 — 6 months, dose 3
Symptoms: Had baby
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 | COVID-19 | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release