LR3-10602-07328
4 vaccinations
4 coded responses
41 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 064 / CT
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
LVK-15742-91363
Child or adolescent in my care · Male · 2022-06-28
Timeline
-
2021-01-02
Dose 1 — Moderna
-
2021-01-03
Registered in v-safe
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-04
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-18
- 2021-01-24
- 2021-01-30
-
2021-02-03
Dose 2 — Moderna
-
2021-02-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-05
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
-
2021-02-24
Survey response — day 21, dose 2MedDRA: Headache, Self-medication — Feeling: GoodFree text: I had a headache the evening of 2/22 following work that resolved with ibuprofen. It is not felt to have been related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
-
2021-08-04
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Gastroenteritis viral, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to work or attend schoolFree text: Recent stomach bug with vomiting and diarrhea. My two year old son developed the same symptoms first. We were both COVID negative via PCR.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-23
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
-
2021-11-13
Survey response — day 21, dose 3MedDRA: Heavy menstrual bleeding, Menstrual clots — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Heavier than usual menstrual period with the passage of several large (> quarter sized) clots in a 90 minute periodMedDRA releases: 2024-11 · check-in free text available
-
2021-11-13
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-16
- 2021-11-20
- 2021-11-29
- 2021-12-04
- 2022-01-22
- 2022-04-23
-
2022-09-13
Dose 4 — Moderna
- 2022-10-04
-
2022-10-11
Survey response — day 28, dose 4MedDRA: Cough, Nasal congestion — Feeling: GoodFree text: Nasal congestion and mild wet coughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
- 2022-10-25
- 2022-12-13
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-09-13 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 21, dose 2
Symptoms: I had a headache the evening of 2/22 following work that resolved with ibuprofen. It is not felt to have been related to the vaccine.
Release 9 — 6 months, dose 2
Symptoms: Recent stomach bug with vomiting and diarrhea. My two year old son developed the same symptoms first. We were both COVID negative via PCR.
Release 10 — day 21, dose 3
Symptoms: Heavier than usual menstrual period with the passage of several large (> quarter sized) clots in a 90 minute period
Release 12 — day 28, dose 4
Symptoms: Nasal congestion and mild wet cough
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Gastroenteritis viral | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Menstrual clots | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release