NJC-10278-50559
4 vaccinations
6 coded responses
29 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 626 / IL
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
U28-10743-32262
Child or adolescent in my care · Female · 2022-08-31
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
-
2021-02-19
Survey response — day 14, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node in right armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — day 21, dose 1MedDRA: Diarrhoea — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-05
Dose 2 — Moderna
-
2021-03-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Flatulence — Feeling: Poor · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Gas pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-21
- 2021-03-26
- 2021-04-04
- 2021-04-09
- 2021-04-16
- 2021-06-04
- 2021-09-03
-
2021-10-10
Dose 3 — Moderna
- 2021-12-13
-
2022-03-05
Survey response — 12 months, dose 2MedDRA: Caesarean section, Pre-eclampsia — 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 · Emergency room or emergency department visit, HospitalizationFree text: Preeclampsia and cesarean birthMedDRA releases: 2024-11 · check-in free text available
-
2022-03-05
Report sent to call center — 12 months, dose 2Be 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 · Hospitalization · 1 call case(s)
- 2022-03-10
-
2022-09-29
Dose 4 — Moderna
- 2022-10-10
-
2022-10-15
Survey response — day 14, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Survey response — day 35, dose 4MedDRA: Respiratory disorder, Respiratory syncytial virus infection — Feeling: Poor · 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 visitFree text: Respiratory illness, diagnosed as RSVMedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Report sent to call center — day 35, dose 4Be 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 · 1 call case(s)
- 2022-11-04
- 2022-11-04
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-10-10 | Moderna | No |
| 4 | 2022-09-29 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Swollen lymph node in right armpit
Release 4 — day 21, dose 1
Symptoms: Diarrhea
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Gas pressure
Release 11 — 12 months, dose 2
Symptoms: Preeclampsia and cesarean birth
Release 12 — day 14, dose 4
Symptoms: Cold symptoms
Release 12 — day 35, dose 4
Symptoms: Respiratory illness, diagnosed as RSV
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 | Caesarean section | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release