JRF-12911-54492
3 vaccinations
11 coded responses
42 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 708 / LA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-19
Survey response — day 28, dose 1MedDRA: Diarrhoea, Vomiting — Feeling: GoodFree text: Vomitting and diarrhea, once each, but have daughter in daycare so assume it was 24 hr bugMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
-
2021-03-12
Survey response — day 14, dose 2MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: FairFree text: Congestion/daycare coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
-
2021-11-11
Dose 3 — Moderna
- 2021-11-11
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: GoodFree text: Mild congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: GoodFree text: Mild congestionMedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Cough, Respiratory tract congestion — Feeling: GoodFree text: Mild congestion, weak and shallow coughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: Mild congestions, shallow coughMedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Respiratory tract congestion, Unevaluable event — Feeling: GoodFree text: Mild congestion, shallpw coughMedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Survey response — day 7, dose 3MedDRA: Respiratory tract congestion — Feeling: GoodFree text: Mild congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-12-02
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2021-12-09
Survey response — day 28, dose 3MedDRA: Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Minor cold with congestion and runny nose; covid negativeMedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
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2021-12-23
Survey response — day 42, dose 3MedDRA: Dehydration, Gastroenteritis viral, Metabolic disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Stomach bug resulting in ketones and dehydration. Resolved.MedDRA releases: 2024-11 · check-in free text available
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2021-12-23
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
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2021-12-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-10
-
2022-05-12
Survey response — 6 months, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: pregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 28, dose 1
Symptoms: Vomitting and diarrhea, once each, but have daughter in daycare so assume it was 24 hr bug
Release 5 — day 14, dose 2
Symptoms: Congestion/daycare cold
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Mild congestion
Systemic reaction (other): Mild congestion
Systemic reaction (other): Mild congestion, weak and shallow cough
Systemic reaction (other): Mild congestions, shallow cough
Systemic reaction (other): Mild congestion, shallpw cough
Release 10 — day 7, dose 3
Systemic reaction (other): Mild congestion
Release 10 — day 28, dose 3
Symptoms: Minor cold with congestion and runny nose; covid negative
Release 10 — day 42, dose 3
Symptoms: Stomach bug resulting in ketones and dehydration. Resolved.
Release 11 — 6 months, dose 3
Symptoms: pregnancy
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 | Dehydration | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Metabolic disorder | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release