FQC-22145-30435
4 vaccinations
6 coded responses
47 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 920 / CA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2KX-59153-87047
Child or adolescent in my care · Male · 2021-11-19
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Rash erythematous — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Small red rash appeared on wrist of same arm as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-27
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
-
2021-11-19
Dose 3 — Moderna
-
2021-11-19
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Chills, Muscle or body aches, Abdominal painAdult check-in
-
2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased, Palpitations — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Heart palpitations, rapid heart rateMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Palpitations — Feeling: Fair · Site: PainFree text: Mild heart palpitationsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-24
- 2021-11-26
-
2021-12-03
Survey response — day 14, dose 3MedDRA: Menstruation irregular — Feeling: GoodFree text: Early mensesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-19
- 2021-12-31
- 2022-02-18
- 2022-05-20
-
2022-09-26
Dose 4 — Moderna
-
2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-18
- 2022-10-24
- 2022-10-31
- 2022-11-07
-
2022-12-26
Survey response — 3 months, dose 4MedDRA: Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rapid heart rate with no exertion.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-26
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-03-27
Survey response — 6 months, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-27
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-28
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-09-26 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Small red rash appeared on wrist of same arm as injection
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Heart palpitations, rapid heart rate
Systemic reaction (other): Mild heart palpitations
Release 10 — day 14, dose 3
Symptoms: Early menses
Release 12 — 3 months, dose 4
Symptoms: Rapid heart rate with no exertion.
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 | Heart rate increased | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release