EMM-10523-91472
5 vaccinations
3 coded responses
44 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
W8D-65365-50275
Child or adolescent in my care · Female · 2022-06-23
VDJ-27729-99003
Child or adolescent in my care · Male · 2023-02-21
Timeline
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 1 — Moderna
- 2021-04-01
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-16
- 2021-04-22
-
2021-04-27
Dose 2 — Moderna
-
2021-04-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-05-01
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-05-05
- 2021-05-12
- 2021-05-20
- 2021-05-25
- 2021-06-03
- 2021-06-10
- 2021-07-30
- 2021-10-26
-
2021-11-22
Dose 3 — Moderna
- 2022-05-23
-
2022-07-03
Dose 4 — Moderna
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-17
- 2022-07-24
- 2022-07-31
- 2022-08-07
- 2022-08-16
- 2022-10-02
-
2022-11-29
Dose 5 — Moderna
- 2022-12-02
-
2022-12-03
Survey response — days 1–6 daily, dose 5MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: I had pericarditis about a month before my booster. All symptoms had been resolved prior to my shot but it feels like it's been coming back.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-04
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction — Feeling: FairFree text: Same as reported yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2022-12-06
Survey response — day 7, dose 5MedDRA: Pericarditis — Feeling: FairFree text: Symptoms of pericarditisMedDRA releases: 2024-11 · check-in free text available
- 2022-12-14
- 2022-12-20
- 2022-12-29
- 2023-01-03
- 2023-01-10
- 2023-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-27 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-07-03 | Moderna | No |
| 5 | 2022-11-29 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I had pericarditis about a month before my booster. All symptoms had been resolved prior to my shot but it feels like it's been coming back.
Systemic reaction (other): Same as reported yesterday
Release 12 — day 7, dose 5
Systemic reaction (other): Symptoms of pericarditis
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Pericarditis | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release