GBW-17234-38019
3 vaccinations
2 coded responses
15 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 078 / NJ
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
R62-30566-06984
Child or adolescent in my care · Female · 2021-12-20
2CW-19367-79002
Child or adolescent in my care · Male · 2021-12-20
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Moderna
- 2020-12-22
-
2020-12-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2020-12-29
- 2021-01-05
-
2021-01-12
Survey response — day 21, dose 1MedDRA: Diarrhoea, Nausea, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Diarrhea , nausea, low grade feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-19
Dose 2 — Moderna
-
2021-03-24
Survey response — 3 months, dose 1MedDRA: Sciatica — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: SciaticaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-03
- 2021-06-22
-
2021-12-10
Dose 3 — Moderna
-
2021-12-20
Health check-in — day 7, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-01-21
- 2022-06-10
- 2022-12-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna | No |
| 3 | 2021-12-10 | Moderna | No |
Call center
2 call center cases
1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 21, dose 1
Symptoms: Diarrhea , nausea, low grade fever
Release 6 — 3 months, dose 1
Symptoms: Sciatica
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release