LEX-20743-40364
4 vaccinations
11 coded responses
52 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 222 / VA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
VVP-27058-61917
Child or adolescent in my care · Male · 2022-07-20
Timeline
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2021-03-26
Registered in v-safe
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2021-03-26
Dose 1 — Moderna
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2021-03-26
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Tenderness — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Tender in armpit of injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
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2021-04-09
Survey response — day 14, dose 1MedDRA: Axillary mass, Injection site rash, Injection site warmth, Tenderness — Feeling: GoodFree text: Developed rash that was warm to the touch at injection site. Tender lump in armpit of injected arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
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2021-04-23
Dose 2 — Moderna
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2021-04-23
Survey response — day 0, dose 2MedDRA: Respiratory tract congestion — Feeling: Good · Site: PainFree text: Minor congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
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2021-05-07
Survey response — day 14, dose 2MedDRA: Nausea — Feeling: Good · Be unable to workFree text: Nauseous for about an hour on MondayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-21
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2021-05-28
Survey response — day 35, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue on SaturdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
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2021-07-23
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnantMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-22
Survey response — 6 months, dose 2MedDRA: Blood pressure decreased, Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Low BP related to second trimester pregnancyMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Dose 3 — ModernaCo-administered: Tetanus
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
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2021-12-31
Survey response — day 42, dose 3MedDRA: Hypertension, Prenatal care — Feeling: GoodFree text: Prenatal hypertensionMedDRA releases: 2024-11 · check-in free text available
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2022-02-18
Survey response — 3 months, dose 3MedDRA: Pre-eclampsia, Premature delivery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Gave birth at 36w3d due to preeclampsiaMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Survey response — 6 months, dose 3MedDRA: Complication of pregnancy, Pre-eclampsia, Premature delivery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Delivered baby 4 wks early due to preeclampsiaMedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Dose 4 — Moderna
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2022-10-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-13
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
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2023-01-06
Survey response — 3 months, dose 4MedDRA: Cough, Fatigue, Oropharyngeal pain, Pain — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-19 | Moderna | Tetanus |
| 4 | 2022-10-07 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Tender in armpit of injection arm
Release 7 — day 14, dose 1
Symptoms: Developed rash that was warm to the touch at injection site. Tender lump in armpit of injected arm.
Release 7 — day 0, dose 2
Systemic reaction (other): Minor congestion
Release 8 — day 14, dose 2
Symptoms: Nauseous for about an hour on Monday
Release 8 — day 35, dose 2
Symptoms: Fatigue on Saturday
Release 9 — 3 months, dose 2
Symptoms: Pregnant
Release 10 — 6 months, dose 2
Symptoms: Low BP related to second trimester pregnancy
Release 10 — day 42, dose 3
Symptoms: Prenatal hypertension
Release 11 — 3 months, dose 3
Symptoms: Gave birth at 36w3d due to preeclampsia
Release 11 — 6 months, dose 3
Symptoms: Delivered baby 4 wks early due to preeclampsia
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 | Axillary mass | ✓ | ✓ | ✓ |
| SD | Blood pressure decreased | · | · | ✓ |
| SD | Complication of pregnancy | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | Premature delivery | · | · | ✓ |
| SD | Prenatal care | · | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release