CH7-18757-78566
3 vaccinations
3 coded responses
21 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 136 / NY
- Registered
- 2021-06-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-13
Dose 1 — Moderna
-
2021-06-10
Registered in v-safe
-
2021-06-10
Dose 2 — Moderna
-
2021-06-10
Survey response — day 0, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: 24 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-12
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Pregnancy — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: A little dizzy (also 24 weeks pregnant)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-06-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-06-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-06-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-06-17
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-06-24
- 2021-07-01
- 2021-07-10
-
2021-07-15
Survey response — day 35, dose 2MedDRA: Arthropod bite, Fatigue, Headache, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Headache and fatigue · Healthcare visit (other): Tick rashMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-15
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-20
- 2021-07-22
- 2021-09-09
- 2021-12-09
-
2022-04-06
Dose 3 — Moderna
- 2022-05-03
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
- 2022-10-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-13 | Moderna | |
| 2 | 2021-06-10 | Moderna | |
| 3 | 2022-04-06 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 0, dose 2
Systemic reaction (other): 24 weeks pregnant
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): A little dizzy (also 24 weeks pregnant)
Release 9 — day 35, dose 2
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 |
|---|---|---|---|---|
| HCVO | Arthropod bite | ✓ | · | ✓ |
| HCVO | Rash | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release