J5K-11509-81125
3 vaccinations
3 coded responses
6 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 926 / CA
- Registered
- 2021-12-23
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-27
Dose 2 — Moderna
-
2021-12-23
Registered in v-safe
-
2021-12-23
Dose 3 — Moderna
-
2021-12-23
Survey response — day 0, dose 3MedDRA: Asthma, Cough, Wheezing — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Asthma (coughing and wheezing caused by vaccine)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-12-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-30
Survey response — day 7, dose 3MedDRA: Asthma — Feeling: Fair · Muscle or body achesFree text: Asthma symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-01-08
Survey response — day 14, dose 3MedDRA: Asthma, Nasopharyngitis, Pregnancy — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a cold and asthma last and this week. Also, Pelvic cramping and stabbing pain, back pain and spasms, but Not sure its due to vaccine as I am pregnant.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | No |
| 2 | 2021-03-27 | Moderna | No |
| 3 | 2021-12-23 | Moderna | No |
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Asthma (coughing and wheezing caused by vaccine)
Release 10 — day 7, dose 3
Systemic reaction (other): Asthma symptoms
Release 10 — day 14, dose 3
Symptoms: I had a cold and asthma last and this week. Also, Pelvic cramping and stabbing pain, back pain and spasms, but Not sure its due to vaccine as I am pregnant.
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 | Asthma | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Asthma | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release