CGN-13248-43500
4 vaccinations
3 coded responses
40 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 916 / CA
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
B7Z-36476-51325
Child or adolescent in my care · Female · 2021-11-29
Timeline
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 1 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-05-02
- 2021-05-04
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-28
-
2021-11-29
Dose 3 — Moderna
-
2021-11-29
Survey response — day 0, dose 3MedDRA: Hot flush, Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Chills, Nausea, DiarrheaFree text: Very intense hot flashes and sweatingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
- 2021-12-02
- 2021-12-05
- 2021-12-06
- 2021-12-15
- 2021-12-22
- 2022-01-03
- 2022-01-12
- 2022-03-02
-
2022-04-27
Dose 4 — Moderna
- 2022-05-15
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-07-30
-
2022-10-28
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Fair · 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 consultationFree text: I had covid and then rebound covidMedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Report sent to call center — 6 months, dose 4Be 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 · 1 call case(s)
-
2022-11-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-04-30
Survey response — 12 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-04-27 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Very intense hot flashes and sweating
Release 12 — 6 months, dose 4
Symptoms: I had covid and then rebound covid
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 | · | · | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release