GPK-13682-20608
2 vaccinations
2 coded responses
7 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 468 / IN
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
-
2021-04-07
Health check-in — day 7, dose 1Feeling: Poor · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-07
Report sent to call center — day 7, dose 1Be unable to do your normal daily activitiesno matching call case
- 2021-04-14
- 2021-04-23
- 2021-04-29
-
2021-05-03
Dose 2 — Moderna
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Fatigue or tirednessFree text: Sore lymph nodes in neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Hospitalisation, Premature rupture of membranes, Rest regimen — Feeling: Poor · Be unable to work, 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: Doubt its related but want to report my water broke at 31 weeks pregnant one week after 2nd dose. On bed rest in hospital.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-09
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-05-03 | Moderna |
Call center
1 call center case
1 successful
1 check-in flagged for a call with no call center case on record
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sore lymph nodes in neck
Systemic reaction (other): Doubt its related but want to report my water broke at 31 weeks pregnant one week after 2nd dose. On bed rest in hospital.
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 | Hospitalisation | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Premature rupture of membranes | ✓ | ✓ | ✓ |
| SRO | Rest regimen | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release