N4D-15261-82470
3 vaccinations
11 coded responses
38 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
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2021-03-22
Dose 1 — Moderna
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2021-03-22
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-24
- 2021-03-25
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Panic reaction, Pre-existing disease — Feeling: Good · Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: I have panic disorder- had a panic attackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-28
- 2021-03-29
-
2021-04-05
Survey response — day 14, dose 1MedDRA: Fatigue — Feeling: GoodFree text: Very fatigued during the dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
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2021-04-19
Dose 2 — Moderna
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2021-04-19
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-04-20
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, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Hypomenorrhoea, Panic attack — Feeling: Poor · Fatigue or tiredness, Diarrhea · 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: Very light period- only 2 days in, also I had an unprovoked panic attackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Intermenstrual bleeding — Feeling: Fair · Fatigue or tirednessFree text: Spotting of period.MedDRA 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: Good · Headache, Fatigue or tirednessAdult check-in
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Palpitations, Panic disorder — Feeling: Poor · Headache · Be unable to do your normal daily activitiesFree text: A lot of anxiety and palpitations. I am Diagnosed with panic disorderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
- 2021-10-18
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2021-12-21
Dose 3 — Moderna
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2021-12-23
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-12-25
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Swollen lympnode under armpitMedDRA releases: 2024-11 · check-in free text available
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2021-12-26
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Headache, Fatigue or tirednessFree text: Very swollen lympnode under armpitMedDRA releases: 2024-11 · check-in free text available
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2021-12-27
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Swollen lympnode in armpitMedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Headache, Fatigue or tiredness, NauseaFree text: Swollen lympnode under armpitMedDRA releases: 2024-11 · check-in free text available
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-01-25
- 2022-02-01
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2022-03-22
Survey response — 3 months, dose 3MedDRA: Infertility, Menstruation irregular, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Wonky periods trouble conceiving · Healthcare visit (other): Primary care physicianMedDRA releases: 2024-11 · check-in free text available
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2022-03-22
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-24
- 2022-06-21
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2022-12-21
Survey response — 12 months, dose 3MedDRA: Pre-eclampsia — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: PreeclampsiaMedDRA releases: 2024-11 · check-in free text available
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2022-12-21
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-12-22
Call successfulNot applicable - Accidental Reporting
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2022-12-22
Call successfulNot applicable - Accidental Reporting
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2022-12-22
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-12-21 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I have panic disorder- had a panic attack
Release 6 — day 14, dose 1
Symptoms: Very fatigued during the day
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Very light period- only 2 days in, also I had an unprovoked panic attack
Systemic reaction (other): Spotting of period.
Systemic reaction (other): A lot of anxiety and palpitations. I am Diagnosed with panic disorder
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lympnode under armpit
Systemic reaction (other): Very swollen lympnode under armpit
Systemic reaction (other): Swollen lympnode in armpit
Release 10 — day 7, dose 3
Systemic reaction (other): Swollen lympnode under armpit
Release 11 — 3 months, dose 3
Symptoms: Wonky periods trouble conceiving
Healthcare visit (other): Primary care physician
Release 12 — 12 months, dose 3
Symptoms: 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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Infertility | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Hypomenorrhoea | ✓ | ✓ | ✓ |
| SRO | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Panic attack | ✓ | ✓ | ✓ |
| SRO | Panic disorder | ✓ | ✓ | ✓ |
| SRO | Panic reaction | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release