CZ3-25726-23773
3 vaccinations
11 coded responses
38 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 071 / NJ
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
CPP-12171-71342
Child or adolescent in my care · Female · 2022-08-03
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
-
2021-03-24
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: Pain · NauseaFree text: Weird taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Good · Site: PainFree text: Nose is a little runny todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
-
2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: GoodFree text: Weird taste with foodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
-
2021-03-31
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Food taste fullyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
-
2021-04-21
Dose 2 — Moderna
- 2021-04-21
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Night sweats — Feeling: Good · Site: Pain · ChillsFree text: Chills at night while sleeping. Waking up in sweat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache in the morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache in the morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Self-medication — Feeling: Good · HeadacheFree text: Headache in the morning, takes TylenolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-21
-
2022-04-21
Survey response — 12 months, dose 2MedDRA: Office visit, Pregnancy — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I'm 6 months pregnant. · Healthcare visit (other): High Risk Clinic visitsMedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-04-22
-
2022-08-03
Dose 3 — Moderna
-
2022-08-03
Survey response — day 0, dose 3MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm soreMedDRA releases: 2024-11 · check-in free text available
- 2022-08-04
- 2022-08-06
- 2022-08-07
- 2022-08-08
- 2022-08-10
- 2022-08-18
- 2022-08-24
- 2022-08-31
- 2022-09-07
- 2022-09-16
- 2022-11-02
- 2023-02-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2022-08-03 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): None
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Weird taste in mouth
Systemic reaction (other): Nose is a little runny today
Systemic reaction (other): Weird taste with food
Release 6 — day 7, dose 1
Systemic reaction (other): Food taste fully
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Chills at night while sleeping. Waking up in sweat.
Systemic reaction (other): Headache in the morning
Systemic reaction (other): Headache in the morning
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Headache in the morning, takes Tylenol
Release 11 — 12 months, dose 2
Release 12 — day 0, dose 3
Systemic reaction (other): Arm sore
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 | Office visit | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release