GGU-88487-90515
4 vaccinations
5 coded responses
48 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 554 / MN
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
P9C-16501-00853
Child or adolescent in my care · Male · 2022-06-25
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-02-15
Registered in v-safe
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Sensitive skin — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: skin sensitivity (like when Im sick)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-18
- 2021-04-24
- 2021-06-12
-
2021-09-11
Survey response — 6 months, dose 2MedDRA: Dizziness, Dizziness postural, Fatigue — Feeling: FairFree text: periodic dizziness, especially after bending over; fatigueMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Dose 3 — Moderna
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-02
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
-
2021-11-20
Survey response — day 21, dose 3MedDRA: Nausea — Feeling: Fair · 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: nauseamight have been food poisoningMedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-27
-
2021-12-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-06
- 2021-12-11
- 2022-02-01
- 2022-04-30
-
2022-09-09
Dose 4 — Moderna
-
2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-11
- 2022-09-12
- 2022-09-16
- 2022-09-23
- 2022-10-01
- 2022-10-07
-
2022-10-14
Survey response — day 35, dose 4MedDRA: Breast feeding, Postpartum state — Feeling: GoodFree text: I just got my period 6 weeks postpartum despite exclusively breastfeeding.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
-
2022-12-11
Survey response — 3 months, dose 4MedDRA: Diarrhoea, Frequent bowel movements — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: frequent loose bowel movementsMedDRA releases: 2024-11 · check-in free text available
-
2022-12-11
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-12-12
Call successfulDoes not wish to fill out VAERS report
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-09-09 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): skin sensitivity (like when Im sick)
Release 9 — 6 months, dose 2
Symptoms: periodic dizziness, especially after bending over; fatigue
Release 10 — day 21, dose 3
Symptoms: nauseamight have been food poisoning
Release 12 — day 35, dose 4
Symptoms: I just got my period 6 weeks postpartum despite exclusively breastfeeding.
Release 12 — 3 months, dose 4
Symptoms: frequent loose bowel movements
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 | Breast feeding | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dizziness postural | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Frequent bowel movements | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Postpartum state | · | · | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release