NHM-44046-05823
4 vaccinations
8 coded responses
40 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 151 / PA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
AQR-21286-73897
Child or adolescent in my care · Male · 2022-07-20
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Mood swings — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Mood swingsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Sinus congestion — Feeling: FairFree text: Moderate - Sinus congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Adverse event, Sinusitis — Feeling: FairFree text: Sinusitis - moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — day 7, dose 2MedDRA: Laryngitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Laryngitis - moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-11-19
Dose 3 — Moderna
-
2022-02-24
Survey response — 12 months, dose 2MedDRA: Back pain, Biliary colic — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Upper back pain (not musculoskeletal), pain in gallbladder region.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-24
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-28
- 2022-05-21
-
2022-10-28
Dose 4 — Moderna
- 2022-10-28
-
2022-10-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-30
Survey response — days 1–6 daily, dose 4MedDRA: Paraesthesia — Feeling: FairFree text: Tingling in right thigh, calf, and foot.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-04
-
2022-11-11
Survey response — day 14, dose 4MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
-
2023-05-01
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-10-28 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Mood swings
Systemic reaction (other): Moderate - Sinus congestion
Systemic reaction (other): Sinusitis - moderate
Release 5 — day 7, dose 2
Systemic reaction (other): Laryngitis - moderate
Release 11 — 12 months, dose 2
Symptoms: Upper back pain (not musculoskeletal), pain in gallbladder region.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Tingling in right thigh, calf, and foot.
Release 12 — day 14, dose 4
Symptoms: Headache
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 | Back pain | · | · | ✓ |
| SD | Biliary colic | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SRO | Adverse event | ✓ | ✓ | ○ |
| SRO | Laryngitis | ✓ | ✓ | ✓ |
| SRO | Mood swings | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Sinusitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release