LEB-18094-65873
4 vaccinations
6 coded responses
45 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 761 / TX
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QTF-12919-35844
Child or adolescent in my care · Female · 2022-01-08
XCD-31079-54965
Child or adolescent in my care · Male · 2022-01-08
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Head discomfort — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Pressure in my head when I walk and standMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-20
Dose 2 — Moderna
- 2021-04-20
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Respiratory tract congestion — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Congestion, headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, NauseaAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Muscle or body achesAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
- 2021-10-19
-
2021-12-14
Dose 3 — ModernaCo-administered: Flu
- 2022-01-08
-
2022-01-11
Survey response — day 28, dose 3MedDRA: Nausea — 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: NauseaMedDRA releases: 2024-11 · check-in free text available
-
2022-01-11
Report sent to call center — day 28, 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)
- 2022-01-12
- 2022-01-18
-
2022-01-25
Survey response — day 42, dose 3MedDRA: Headache, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · 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: Headache, fever, congestion, runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-01-25
Report sent to call center — day 42, 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)
-
2022-01-26
Call successfulDoes not wish to fill out VAERS report
- 2022-03-15
- 2022-06-14
-
2022-09-15
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-16
-
2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-09-18
-
2022-09-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness · Muscle or body aches, DiarrheaAdult check-in
-
2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: Intermenstrual bleeding, Pregnancy — Feeling: Good · Headache, Muscle or body achesFree text: Had spotting and recently took an at home pregnancy test that was positiveMedDRA releases: 2024-11 · check-in free text available
- 2022-09-21
- 2022-09-22
- 2022-09-29
- 2022-10-08
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-12-14 | Moderna | Flu |
| 4 | 2022-09-15 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Pressure in my head when I walk and stand
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Congestion, headache
Systemic reaction (other): Congestion
Release 10 — day 28, dose 3
Symptoms: Nausea
Release 11 — day 42, dose 3
Symptoms: Headache, fever, congestion, runny nose
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Had spotting and recently took an at home pregnancy test that was positive
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 | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Intermenstrual bleeding | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release