J8K-20627-79123
4 vaccinations
2 coded responses
32 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 760 / TX
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
64C-11946-66380
Child or adolescent in my care · Female · 2022-06-28
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
- 2021-03-28
- 2021-03-29
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-21
Dose 2 — Moderna
- 2021-04-21
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Medical counselling, Vaginal haemorrhage — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Last night I had vaginal bleeding and severe abdominal pain. I'm not sure if it was due to the shot. · Healthcare visit (other): I called ob on call about my vaginal bleeding and severe abdominal pain. She told me that if it got worse to go to the er. The bleeding eventually stopped after a couple of hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
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)
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-01
- 2021-06-02
- 2021-07-21
- 2021-10-20
-
2021-10-28
Dose 3 — Moderna
- 2022-04-21
-
2022-07-29
Dose 4 — Moderna
-
2022-07-30
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2022-07-31
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2022-08-03
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-08-26
- 2022-09-03
- 2022-09-09
-
2022-10-28
Survey response — 3 months, dose 4MedDRA: COVID-19, Cough, Nasal disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I've had covid. Horrible nasal symptoms, and cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-31
- 2022-10-31
- 2023-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-07-29 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Last night I had vaginal bleeding and severe abdominal pain. I'm not sure if it was due to the shot.
Healthcare visit (other): I called ob on call about my vaginal bleeding and severe abdominal pain. She told me that if it got worse to go to the er. The bleeding eventually stopped after a couple of hours.
Release 12 — 3 months, dose 4
Symptoms: I've had covid. Horrible nasal symptoms, and cough.
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 |
|---|---|---|---|---|
| HCVO | Abdominal pain | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasal disorder | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release