NCJ-33800-71090
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 460 / IN
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
-
2021-03-31
Survey response — day 0, dose 1MedDRA: Injected limb mobility decreased — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Limited mobility in arm with injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-06
- 2021-04-07
- 2021-04-14
-
2021-04-21
Survey response — day 21, dose 1MedDRA: Ear pain, Eye pruritus, Fatigue, Headache, Lacrimation increased, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Fever, sore throat, congestion, fatigue, ear and body aches, itchy/watery eyes. Covid test is pending results.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Dose 2 — Moderna
-
2021-04-28
Survey response — day 0, dose 2MedDRA: SARS-CoV-2 test negative — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Covid test from last week came back negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-07
- 2021-05-13
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-10
- 2021-07-28
- 2021-10-28
-
2022-04-29
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — Feeling: GoodFree text: I had a miscarriage at the end of December 2021. Cause is unknown and it was my first pregnancy. I am currently trying to get pregnant again.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Limited mobility in arm with injection
Release 7 — day 21, dose 1
Symptoms: Fever, sore throat, congestion, fatigue, ear and body aches, itchy/watery eyes. Covid test is pending results.
Release 8 — day 0, dose 2
Systemic reaction (other): Covid test from last week came back negative.
Release 11 — 12 months, dose 2
Symptoms: I had a miscarriage at the end of December 2021. Cause is unknown and it was my first pregnancy. I am currently trying to get pregnant again.
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 | Abortion spontaneous | · | · | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release