L9D-18689-09652
5 vaccinations
14 coded responses
51 check-ins
13 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 200 / DC
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2RS-23795-76266
Child or adolescent in my care · Female · 2022-06-25
Timeline
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2021-02-26
Dose 1 — Moderna
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2021-02-27
Registered in v-safe
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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I am 13 weeks pregnant, so the tiredness is probably because of that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · HeadacheFree text: Could be pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
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2021-03-19
Survey response — day 21, dose 1MedDRA: Abdominal pain, Appendicitis, Emergency care, Surgery, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I woke up Sat morning with severe abdominal pain and vomiting and went to the ER. I was later diagnosed with acute appendicitis and had emergency surgery. Having my first vaccine shot gave me incredible comfort during this time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-26
Dose 2 — Moderna
- 2021-03-26
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Dehydration — Feeling: Good · Site: Pain · HeadacheFree text: Mild. I did a long walk in the sun today so it could be from very mild dehydration.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Sensitivity to weather change — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: I think my tiredness is due to weather and not vaccine-related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: Pain, RednessFree text: I realized last night that the area around the injection site was red yesterday, but I did not report it. The redness is mild, though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-04
- 2021-04-07
- 2021-04-11
- 2021-04-16
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2021-04-17
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-04-23
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2021-04-30
Survey response — day 35, dose 2MedDRA: Headache, Nausea, Self-medication — Feeling: Good · Be unable to workFree text: I woke up with a moderate/severe headache on Monday 4/26, along with mild nausea, which did not go away when I took 500mg of Tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-06-25
- 2021-09-24
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2021-11-23
Dose 3 — ModernaCo-administered: Flu
- 2022-03-26
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2022-06-24
Dose 4 — Moderna
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2022-06-25
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Head feels foggyMedDRA releases: 2024-11 · check-in free text available
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2022-06-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2022-06-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2022-06-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
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2022-06-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-16
- 2022-07-22
- 2022-07-29
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2022-08-05
Survey response — day 42, dose 4MedDRA: Fatigue, Feeling hot, Headache, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Recently, I felt very fatigued along with slight headache, slight runny nose, feeling feverish but with no temperature. I tested myself for COVID for 4 consecutive days but all were negative. I'm feeling better today.MedDRA releases: 2024-11 · check-in free text available
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2022-09-23
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Feeling like I'm coming down with a cold, but my daughter started daycare a week ago and has also been sick. I probably just caught what she had.MedDRA releases: 2024-11 · check-in free text available
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2022-11-08
Dose 5 — ModernaCo-administered: Flu
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2022-11-08
Health check-in — day 0, dose 5Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2022-11-09
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-11-10
- 2022-11-11
- 2022-11-13
- 2022-11-15
- 2022-11-22
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2022-11-29
Survey response — day 21, dose 5MedDRA: Abdominal pain, Back pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Severe abdominal and back pain.MedDRA releases: 2024-11 · check-in free text available
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2022-11-29
Report sent to call center — day 21, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-11-30
- 2022-11-30
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2022-12-06
Survey response — day 28, dose 5MedDRA: Abdominal pain, Back pain, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Abdominal and back pain is returning. I feel moderate to moderate/severe pain when walking.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-14
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2022-12-20
Survey response — day 42, dose 5MedDRA: Chills, Fatigue, Lacrimation increased, Nasal congestion, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Have a cold. Chills, stuffy nose, watery eyes, very tired.MedDRA releases: 2024-11 · check-in free text available
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2023-02-07
Survey response — 3 months, dose 5MedDRA: COVID-19, Cold urticaria, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-02-07
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-02-08
- 2023-02-08
- 2023-02-08
- 2023-02-09
- 2023-02-09
- 2023-02-09
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2023-02-09
Callback requested for10:30AM ET
- 2023-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-23 | Moderna | Flu |
| 4 | 2022-06-24 | Moderna | No |
| 5 | 2022-11-08 | Moderna | Flu |
Call center
3 call center cases
3 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I am 13 weeks pregnant, so the tiredness is probably because of that.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Could be pregnancy
Release 5 — day 21, dose 1
Symptoms: I woke up Sat morning with severe abdominal pain and vomiting and went to the ER. I was later diagnosed with acute appendicitis and had emergency surgery. Having my first vaccine shot gave me incredible comfort during this time.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Mild. I did a long walk in the sun today so it could be from very mild dehydration.
Systemic reaction (other): I think my tiredness is due to weather and not vaccine-related.
Systemic reaction (other): I realized last night that the area around the injection site was red yesterday, but I did not report it. The redness is mild, though.
Release 8 — day 35, dose 2
Symptoms: I woke up with a moderate/severe headache on Monday 4/26, along with mild nausea, which did not go away when I took 500mg of Tylenol.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Head feels foggy
Release 12 — day 42, dose 4
Symptoms: Recently, I felt very fatigued along with slight headache, slight runny nose, feeling feverish but with no temperature. I tested myself for COVID for 4 consecutive days but all were negative. I'm feeling better today.
Release 12 — 3 months, dose 4
Symptoms: Feeling like I'm coming down with a cold, but my daughter started daycare a week ago and has also been sick. I probably just caught what she had.
Release 12 — day 21, dose 5
Symptoms: Severe abdominal and back pain.
Release 12 — day 28, dose 5
Symptoms: Abdominal and back pain is returning. I feel moderate to moderate/severe pain when walking.
Release 12 — day 42, dose 5
Symptoms: Have a cold. Chills, stuffy nose, watery eyes, very tired.
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 | Office visit | · | · | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Appendicitis | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cold urticaria | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Surgery | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Sensitivity to weather change | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release