N9X-78784-77772
4 vaccinations
1 coded response
42 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 385 / TN
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-06
Registered in v-safe
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · 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
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-03-07
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-16
- 2021-06-03
- 2021-09-02
-
2022-01-27
Dose 3 — Moderna
- 2022-01-27
-
2022-01-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2022-01-30
- 2022-01-31
- 2022-02-01
- 2022-02-02
- 2022-02-03
- 2022-02-10
- 2022-02-17
- 2022-02-24
- 2022-03-03
- 2022-03-10
-
2022-04-28
Survey response — 3 months, dose 3MedDRA: COVID-19, Delivery, Foetal hypokinesia, Loss of personal independence in daily activities, Premature labour — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: COVID March 10, preterm delivery of baby April 4 (hospitalization for birth, baby in Nicu 11 days with pneumonia and pulmonary hypertension). During Covid,I visited labor and delivery for reduced fetal movement and was unable to do normal activities.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
-
2022-04-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-30
-
2022-10-02
Dose 4 — Moderna
- 2022-10-29
- 2022-10-30
- 2022-11-06
- 2022-11-13
- 2023-01-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2022-01-27 | Moderna | No |
| 4 | 2022-10-02 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 11 — 3 months, dose 3
Symptoms: COVID March 10, preterm delivery of baby April 4 (hospitalization for birth, baby in Nicu 11 days with pneumonia and pulmonary hypertension). During Covid,I visited labor and delivery for reduced fetal movement and was unable to do normal activities. cut off by CDC
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 | COVID-19 | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Foetal hypokinesia | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Premature labour | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release