GX6-13548-79856
3 vaccinations
2 coded responses
39 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 665 / KS
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
MVF-23893-24847
Child or adolescent in my care · Female · 2021-11-13
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-19
-
2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-11
- 2021-02-16
- 2021-02-23
-
2021-02-25
Dose 2 — Moderna
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-28
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-20
- 2021-03-25
- 2021-04-08
- 2021-05-27
-
2021-08-26
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: Good · 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: Nausea/vomiting and fatigue of pregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-26
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-30
-
2021-11-13
Dose 3 — Moderna
- 2021-11-13
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-11-15
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-17
- 2021-11-18
-
2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-20
Health check-in — day 7, dose 3Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-27
- 2021-12-04
- 2021-12-11
-
2021-12-18
Survey response — day 35, dose 3MedDRA: Cough, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Cough, sore throat, headache, congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-26
- 2022-02-14
- 2022-05-14
- 2022-11-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 6 months, dose 2
Symptoms: Nausea/vomiting and fatigue of pregnancy
Release 10 — day 35, dose 3
Symptoms: Cough, sore throat, headache, congestion
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release