D5U-21992-15127
4 vaccinations
5 coded responses
52 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5ZA-30444-52390
Child or adolescent in my care · Male · 2022-06-28
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-01-12
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Moderna
-
2021-02-06
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Head grogginessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness, NauseaAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-28
- 2021-03-06
- 2021-03-15
- 2021-03-20
- 2021-05-08
- 2021-08-09
-
2021-11-20
Dose 3 — Moderna
- 2021-11-20
-
2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-22
- 2021-11-23
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
-
2021-11-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
-
2021-11-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-11-27
- 2021-12-04
- 2021-12-13
-
2021-12-18
Survey response — day 28, dose 3MedDRA: Lymphadenopathy, Nasopharyngitis, Respiratory tract congestion, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sinus cold, swollen pre auricular lymph nodes, congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-27
Survey response — day 35, dose 3MedDRA: Gastroenteritis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: GastroenteritisMedDRA releases: 2024-11 · check-in free text available
- 2022-01-02
-
2022-02-20
Survey response — 3 months, dose 3MedDRA: Cough, Fatigue, Headache, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headache, extreme sinus congestion, dry cough, extreme fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-05-21
-
2022-10-12
Dose 4 — ModernaCo-administered: Flu
-
2022-10-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-26
- 2022-11-04
-
2022-11-09
Survey response — day 28, dose 4MedDRA: Mastitis — Feeling: Good · 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: MastitisMedDRA releases: 2024-11 · check-in free text available
-
2022-11-09
Report sent to call center — day 28, 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)
- 2022-11-10
- 2022-11-16
- 2022-11-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
| 4 | 2022-10-12 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Head grogginess
Release 10 — day 28, dose 3
Symptoms: Sinus cold, swollen pre auricular lymph nodes, congestion
Release 10 — day 35, dose 3
Symptoms: Gastroenteritis
Release 11 — 3 months, dose 3
Symptoms: Headache, extreme sinus congestion, dry cough, extreme fatigue
Release 12 — day 28, dose 4
Symptoms: Mastitis
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastroenteritis | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Mastitis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release