BXZ-17569-25311
4 vaccinations
2 coded responses
38 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 023 / MA
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Dose 1 — Moderna
-
2021-03-22
Registered in v-safe
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Poor · Headache, NauseaFree text: Runny nose, sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
- 2021-04-02
- 2021-04-07
-
2021-04-15
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-18
- 2021-04-19
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
- 2021-10-14
-
2022-01-14
Dose 3 — Moderna
- 2022-01-15
- 2022-01-16
- 2022-01-17
- 2022-01-18
-
2022-01-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-01-20
- 2022-01-21
- 2022-01-28
- 2022-02-04
- 2022-02-11
- 2022-02-18
- 2022-02-25
- 2022-04-15
- 2022-07-15
-
2022-09-30
Dose 4 — ModernaCo-administered: Flu
- 2022-10-16
- 2022-10-21
- 2022-10-28
- 2022-11-04
-
2022-11-11
Survey response — day 42, dose 4MedDRA: Abdominal pain, Migraine, Nausea, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Nausea vomiting and abdomen pain MigrainesMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-14
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2022-01-14 | Moderna | No |
| 4 | 2022-09-30 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose, sneezing
Release 12 — day 42, dose 4
Symptoms: Nausea vomiting and abdomen pain Migraines
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 | Abdominal pain | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release