M9G-35963-48098
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-14
Dose 1 — Moderna
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2021-01-15
Registered in v-safe
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Vaginal haemorrhage — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Vaginal bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Vaginal haemorrhage — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal painFree text: Unexplained vaginal bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, VomitingAdult check-in
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2021-01-21
Health check-in — day 7, dose 1Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-01-28
Survey response — day 14, dose 1MedDRA: Chills, Pyrexia — Feeling: Fair · Be unable to workFree text: Chills , feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
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2021-02-11
Dose 2 — Moderna
- 2021-02-11
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, HeadacheAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-02-20
Health check-in — day 7, dose 2Feeling: Poor · Site: Pain, Redness · Fever · HeadacheAdult check-in
- 2021-02-25
- 2021-03-04
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2021-03-11
Survey response — day 28, dose 2MedDRA: Asthenia, Headache — Feeling: GoodFree text: Headaches and weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
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2021-03-25
Survey response — day 42, dose 2MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-08-12
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Vaginal bleeding
Systemic reaction (other): Unexplained vaginal bleeding
Release 2 — day 14, dose 1
Symptoms: Chills , fever
Release 5 — day 28, dose 2
Symptoms: Headaches and weakness
Release 6 — day 42, dose 2
Symptoms: Headaches
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release