L3S-43860-23042
4 vaccinations
5 coded responses
52 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 802 / CO
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
3MF-47688-04048
Child or adolescent in my care · Male · 2022-06-26
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
-
2021-03-29
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-05
- 2021-04-12
- 2021-04-21
-
2021-04-26
Dose 2 — Moderna
- 2021-04-26
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-28
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · DiarrheaAdult check-in
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-06-02
- 2021-06-07
- 2021-07-26
- 2021-10-25
-
2021-11-15
Dose 3 — Moderna
-
2021-11-15
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-11-17
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Dizziness — Feeling: Fair · Site: Pain · HeadacheFree text: Sore armpit and dizzinessMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-22
- 2021-12-30
-
2022-02-14
Survey response — 3 months, dose 3MedDRA: Gastroenteritis viral — 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: Came down with a stomach virus.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-14
Report sent to call center — 3 months, dose 3Be 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)
-
2022-02-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-16
-
2022-09-12
Dose 4 — Moderna
- 2022-09-12
-
2022-09-13
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness, Fatigue — Feeling: Good · Site: PainFree text: Tired and dizzyMedDRA releases: 2024-11 · check-in free text available
- 2022-09-14
- 2022-09-16
- 2022-09-17
-
2022-09-18
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: GoodFree text: I'm pregnantMedDRA releases: 2024-11 · check-in free text available
- 2022-09-19
- 2022-09-26
- 2022-10-04
- 2022-10-10
-
2022-10-17
Survey response — day 35, dose 4MedDRA: Fatigue, Nasopharyngitis, Thyroid 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 · Telehealth, virtual health, or email health consultationFree text: Fatigue and cold symptoms. Thyroid issues.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-17
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-18
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-09-12 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore armpit and dizziness
Release 11 — 3 months, dose 3
Symptoms: Came down with a stomach virus.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Tired and dizzy
Systemic reaction (other): I'm pregnant
Release 12 — day 35, dose 4
Symptoms: Fatigue and cold symptoms. Thyroid issues.
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 | Fatigue | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release