C6Y-93346-45184
3 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 200 / DC
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
35H-16460-84886
Child or adolescent in my care · Male · 2022-06-21
Timeline
-
2021-03-28
Dose 1 — Moderna
-
2021-04-25
Dose 2 — Moderna
-
2021-04-26
Registered in v-safe
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Site: PainFree text: Fever peaked at 100.6 last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-04
- 2021-05-11
- 2021-05-16
- 2021-05-23
- 2021-05-31
- 2021-06-06
- 2021-07-25
- 2021-10-24
-
2021-10-26
Dose 3 — ModernaCo-administered: Flu
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Pyrexia — Feeling: Good · Site: Pain · ChillsFree text: Had a fever 100.3 for 36 hours after injection. Have felt feverish a bit yesterday but didn't take tempMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-10
- 2021-11-18
- 2021-11-25
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-29
Survey response — 6 months, dose 3MedDRA: Dyspnoea, Heart rate increased, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Shortness of breath, rapid heart rate, likely related to pregnancy (I was 8 weeks pregnant when this occurred)MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-04-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Moderna | |
| 2 | 2021-04-25 | Moderna | |
| 3 | 2021-10-26 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Fever peaked at 100.6 last night
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Had a fever 100.3 for 36 hours after injection. Have felt feverish a bit yesterday but didn't take temp
Release 11 — 6 months, dose 3
Symptoms: Shortness of breath, rapid heart rate, likely related to pregnancy (I was 8 weeks pregnant when this occurred)
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 | Dyspnoea | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release