N5R-19291-86800
3 vaccinations
4 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 600 / IL
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · HeadacheFree text: Digestive issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-02-02
- 2021-02-11
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Mild sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-08-24
-
2021-11-10
Dose 3 — Moderna
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-15
-
2021-12-24
Survey response — day 42, dose 3MedDRA: Delivery, Nephrolithiasis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had a kidney stone for the first time in my life, likely unrelated, I passed the stone on 12/15/21. I also gave birth to my 2nd child on (b)(6)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
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 prEmergency room or emergency department visit · 1 call case(s)
- 2021-12-27
-
2022-02-09
Survey response — 3 months, dose 3MedDRA: COVID-19, Cough, Dizziness, Fatigue, Headache, Respiratory tract congestion — Feeling: GoodFree text: Covid, congestion, headache, cough, dizziness, exhaustionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Digestive issues
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Mild sore throat
Release 10 — day 42, dose 3
Symptoms: I had a kidney stone for the first time in my life, likely unrelated, I passed the stone on 12/15/21. I also gave birth to my 2nd child on (b)(6)
redacted (b)(6)
Release 11 — 3 months, dose 3
Symptoms: Covid, congestion, headache, cough, dizziness, exhaustion
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 | COVID-19 | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release