D9N-19620-27242
3 vaccinations
6 coded responses
27 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 841 / UT
- Registered
- 2021-05-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Moderna
-
2021-05-06
Registered in v-safe
-
2021-05-06
Dose 2 — Moderna
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaFree text: Feeling unusually warm/feverishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Diarrhea, Abdominal painAdult check-in
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-20
-
2021-05-27
Survey response — day 21, dose 2MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I just caught a flu (I think). I got tested for COVID, and the test was negative, so I think this is unrelated. Figured Id report it just in case.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
- 2021-06-11
- 2021-06-20
- 2021-08-07
- 2021-11-04
-
2021-12-02
Dose 3 — Moderna
-
2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-12-07
-
2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Fair · Fatigue or tiredness, NauseaFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Survey response — day 7, dose 3MedDRA: Pregnancy — Feeling: Good · NauseaFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
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2022-01-13
Survey response — day 42, dose 3MedDRA: Appendicectomy, Appendicitis — 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 · Emergency room or emergency department visit, HospitalizationFree text: Appendicitis and had an appendectomyMedDRA releases: 2024-11 · check-in free text available
-
2022-01-13
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-01-14
- 2022-03-04
- 2022-06-04
-
2022-12-03
Survey response — 12 months, dose 3MedDRA: Caesarean section, Influenza, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Gave birth (cesarean), mild flu (at-home test from covid was negativeMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling unusually warm/feverish
Release 8 — day 21, dose 2
Symptoms: I just caught a flu (I think). I got tested for COVID, and the test was negative, so I think this is unrelated. Figured Id report it just in case.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pregnancy
Release 10 — day 7, dose 3
Systemic reaction (other): Pregnancy
Release 10 — day 42, dose 3
Symptoms: Appendicitis and had an appendectomy
Release 12 — 12 months, dose 3
Symptoms: Gave birth (cesarean), mild flu (at-home test from covid was negative
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 | Appendicectomy | · | · | ✓ |
| SD | Appendicitis | · | · | ✓ |
| SD | Caesarean section | · | · | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release