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L5H-90763-65014

2 vaccinations 2 coded responses 4 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
840 / UT
Registered
2021-06-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-14
    Dose 1 — Moderna
  2. 2021-06-11
    Registered in v-safe
  3. 2021-06-11
    Dose 2 — Moderna
  4. 2021-06-11
    Survey response — day 0, dose 2
    MedDRA: Abdominal discomfort, Pregnancy — Feeling: Good · Site: Pain · Headache
    Free text: 7 weeks pregnant - experienced normal stomach upset from pregnancy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-06-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-06-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Head discomfort, Headache, Office visit, Sinus pain — Feeling: Fair · Be unable to work or attend school
    Free text: I had to go to the dr yesterday for extreme headaches pressure and sinus pain. It has eased today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-14Moderna
22021-06-11Moderna

Free text

Release 9 — day 0, dose 2

2021-06-11

Systemic reaction (other): 7 weeks pregnant - experienced normal stomach upset from pregnancy

Release 9 — days 1–6 daily, dose 2

2021-06-15

Systemic reaction (other): I had to go to the dr yesterday for extreme headaches pressure and sinus pain. It has eased today.

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
SROAbdominal discomfort ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓
SROSinus pain ✓ ✓ ✓

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