KTB-58410-95314
4 vaccinations
3 coded responses
38 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 982 / WA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2020-12-30
Registered in v-safe
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
-
2021-01-05
Survey response — day 7, dose 1MedDRA: Chest pain, Painful respiration — Feeling: FairFree text: Chest pain and pain with deep breathsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-23
-
2021-01-25
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-03
- 2021-02-08
-
2021-02-15
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: I had a significant headache Friday 2/12 and Saturday 2/13.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-03
- 2021-03-10
- 2021-04-28
-
2021-09-10
Dose 3 — Moderna
- 2021-10-23
- 2021-12-10
- 2022-03-11
- 2022-09-10
-
2022-10-07
Dose 4 — ModernaCo-administered: Flu
-
2022-10-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-21
- 2022-10-29
- 2022-11-05
- 2022-11-11
- 2022-11-18
- 2023-01-06
-
2023-04-07
Survey response — 6 months, dose 4MedDRA: Delivery, Hospitalisation, Induced labour — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-07
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2023-04-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-09-10 | Moderna | No |
| 4 | 2022-10-07 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Chest pain and pain with deep breaths
Release 4 — day 21, dose 2
Symptoms: I had a significant headache Friday 2/12 and Saturday 2/13.
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 | Delivery | · | · | ✓ |
| HCVO | Hospitalisation | · | · | ✓ |
| HCVO | Induced labour | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release