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L42-24242-85239

4 vaccinations 11 coded responses 51 check-ins 11 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
910 / CA
Registered
2021-01-07
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino
Registered dependents
673-14245-88650 Child or adolescent in my care · Female · 2022-06-26
RSP-43200-59923 Child or adolescent in my care · Female · 2022-06-26

Timeline

  1. 2021-01-07
    Registered in v-safe
  2. 2021-01-07
    Dose 1 — Moderna
  3. 2021-01-07
    Survey response — day 0, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Just sore deltoid muscle from injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood glucose increased, Myalgia — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: blood sugar level increases by about 20 points, sore deltoid
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Nausea
    Adult check-in
  7. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain — Feeling: Good · Nausea, Abdominal pain
    Free text: Abdominal cramp. Could've been Braxton Hicks though
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nausea, Pregnancy — Feeling: Good · Nausea
    Free text: Mild nausea but I'm 28 weeks pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-28
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Headache, Hypersomnia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Moderate/major headaches throughout day x 24 hours yesterday 1/27, lots of fatigue/sleep, sinus issues. Possibly from tdap vaccine 1/21. Normally I do not have reaction to tdap from previous pregnancy and injections
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-28
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  14. 2021-02-04
    Dose 2 — Moderna
  15. 2021-02-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Adult check-in
  17. 2021-02-05
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood glucose increased — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Forgot to report elevated blood sugars by 10-20 points x 36 hours after second injection. Resolved today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  20. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  21. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  22. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  24. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-04
    Survey response — day 28, dose 2
    MedDRA: Abdominal pain, Nausea, Pregnancy — Feeling: Good
    Free text: Abdominal cramps, more nausea, but I'll be 36 weeks pregnant tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-03-18
    Survey response — day 42, dose 2
    MedDRA: Back pain, Muscle spasms, Nausea, Pregnancy — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Nausea, cramps, back pain. I'm 38 weeks pregnant tomorrow so due to go into labor soon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-04-28
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2021-11-01
    Dose 3 — Moderna
  33. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Joint pains
    Adult check-in
  34. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  35. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  36. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  37. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  38. 2021-11-15
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  39. 2021-11-23
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  40. 2021-12-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-31
    Survey response — 3 months, dose 3
    MedDRA: Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-05-02
    Survey response — 6 months, dose 3
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnant with another child
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-09-14
    Dose 4 — Moderna
  46. 2022-09-14
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  47. 2022-09-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  48. 2022-09-17
    Survey response — days 1–6 daily, dose 4
    MedDRA: Caesarean section — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches
    Free text: Recovering from c section (b)(6)
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-09-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  50. 2022-09-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches
    Adult check-in
  51. 2022-09-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Itching · Headache
    Adult check-in
  52. 2022-09-21
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  53. 2022-09-28
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-10-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-10-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-10-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-10-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-12-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  59. 2023-03-15
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna
32021-11-01Moderna No
42022-09-14Moderna No

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): Just sore deltoid muscle from injection site

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): blood sugar level increases by about 20 points, sore deltoid

2021-01-11

Systemic reaction (other): Abdominal cramp. Could've been Braxton Hicks though

2021-01-12

Systemic reaction (other): Mild nausea but I'm 28 weeks pregnant

Release 2 — day 21, dose 1

2021-01-28

Symptoms: Moderate/major headaches throughout day x 24 hours yesterday 1/27, lots of fatigue/sleep, sinus issues. Possibly from tdap vaccine 1/21. Normally I do not have reaction to tdap from previous pregnancy and injections

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Forgot to report elevated blood sugars by 10-20 points x 36 hours after second injection. Resolved today

Release 5 — day 28, dose 2

2021-03-04

Symptoms: Abdominal cramps, more nausea, but I'll be 36 weeks pregnant tomorrow

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Nausea, cramps, back pain. I'm 38 weeks pregnant tomorrow so due to go into labor soon

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Pregnancy

Release 11 — 6 months, dose 3

2022-05-02

Symptoms: Pregnant with another child

Release 12 — days 1–6 daily, dose 4

2022-09-17

Systemic reaction (other): Recovering from c section (b)(6)
redacted (b)(6)

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypersomnia ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPregnancy ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SROBlood glucose increased ✓ ✓ ✓
SROCaesarean section · · ✓
SROInjection site pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓
SROSecond trimester pregnancy ○ ○ ○
SROUnevaluable event ○ ○ ○

✓ active code · ○ coded but marked inactive · blank = not in that release

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