N7A-17812-60907
3 vaccinations
3 coded responses
36 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 373 / TN
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
LGS-32476-01807
Child or adolescent in my care · Female · 2021-11-12
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-13
-
2021-01-21
Survey response — day 21, dose 1MedDRA: Arthralgia, Nasal congestion, Pain in extremity — Feeling: GoodFree text: Unsure if related. Last few weeks knees, feet, wrist have hurt. Had lupus when younger but been in remission. Nose been stuffy for a few weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Dose 2 — Moderna
-
2021-01-29
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, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-13
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-13
- 2021-04-29
- 2021-07-29
-
2021-11-12
Dose 3 — Moderna
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Urticaria — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Had some hives last night on arm may not be relatedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
-
2021-11-19
Health check-in — day 7, dose 3Feeling: Poor · Headache, Fatigue or tiredness, Abdominal pain · Be unable to work or attend schoolAdult check-in
- 2021-11-28
- 2021-12-05
- 2021-12-10
- 2021-12-17
- 2021-12-26
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Light headed
Release 2 — day 21, dose 1
Symptoms: Unsure if related. Last few weeks knees, feet, wrist have hurt. Had lupus when younger but been in remission. Nose been stuffy for a few weeks.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Had some hives last night on arm may not be related
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release