P32-91838-87766
4 vaccinations
9 coded responses
47 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 548 / WI
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
UZM-67939-43553
Child or adolescent in my care · Female · 2022-07-19
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
-
2021-01-21
Survey response — day 7, dose 1MedDRA: Tenderness — Feeling: GoodFree text: Tenderness under left arm (armpit) area. Do not feel any swollen lymph nodes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-05
-
2021-02-11
Dose 2 — Moderna
-
2021-02-11
Survey response — day 0, dose 2MedDRA: Immediate post-injection reaction, Paraesthesia, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: PainFree text: Mild tingling in left hand and nose. Occurred about 30-60 min after vaccination. Happened with first vaccination about 20-30 min after. Tingling was in left hand, neck and side of face with first vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pyrexia — Feeling: Good · Site: PainFree text: I was not able to complete yesterdays assessment and the link expired. Yesterday I had a fever and slight body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-02-25
Survey response — day 14, dose 2MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Runny nose and sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — day 21, dose 2MedDRA: Headache, Nasal congestion — Feeling: FairFree text: Stuffy nose last week. Headache today. Had to take ibuprofen for headache or wouldnt have been able to work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-11-05
Dose 3 — Moderna
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Back pain, Fatigue, Headache, Injection site pain, Nausea, Vomiting — Feeling: GoodFree text: I didn't get to report symptoms the first 24 hours after vaccination. I experienced headache, nausea, vomiting, injection site pain, underarm pain, fatigue, and back pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-27
- 2021-12-06
- 2021-12-10
- 2021-12-18
-
2022-02-04
Survey response — 3 months, dose 3MedDRA: Aphonia, Fatigue, Pyrexia, SARS-CoV-2 test positive, Throat irritation — Feeling: Good · Be unable to work or attend schoolFree text: Positive Bionex now rapid antigen covid test. Throat irritation, lost voice, mild fatigue, low grade fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
-
2022-09-16
Dose 4 — Moderna
- 2022-09-16
-
2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-10-02
- 2022-10-07
- 2022-10-14
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2022-10-21
Survey response — day 35, dose 4MedDRA: Delivery, Hypertension, Induced labour, Pregnancy — 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 · HospitalizationFree text: I was pregnant and developed high blood pressure. I was induced for delivery at 36 weeks.MedDRA releases: 2024-11 · check-in free text available
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2022-10-21
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 prHospitalization · 1 call case(s)
- 2022-10-24
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2022-10-28
Survey response — day 42, dose 4MedDRA: Blood pressure increased, Postpartum state, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Developed preeclampsia at 36 weeks gestation and was induced. My blood pressure has remained elevated post delivery and I began labetalol this week. Was also treated with this during induction and labor.MedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-31
- 2022-10-31
- 2022-12-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-09-16 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Tenderness under left arm (armpit) area. Do not feel any swollen lymph nodes.
Release 4 — day 0, dose 2
Systemic reaction (other): Mild tingling in left hand and nose. Occurred about 30-60 min after vaccination. Happened with first vaccination about 20-30 min after. Tingling was in left hand, neck and side of face with first vaccination.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I was not able to complete yesterdays assessment and the link expired. Yesterday I had a fever and slight body aches.
Release 4 — day 14, dose 2
Symptoms: Runny nose and sore throat
Release 5 — day 21, dose 2
Symptoms: Stuffy nose last week. Headache today. Had to take ibuprofen for headache or wouldnt have been able to work.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I didn't get to report symptoms the first 24 hours after vaccination. I experienced headache, nausea, vomiting, injection site pain, underarm pain, fatigue, and back pain.
Release 11 — 3 months, dose 3
Symptoms: Positive Bionex now rapid antigen covid test. Throat irritation, lost voice, mild fatigue, low grade fever.
Release 12 — day 35, dose 4
Symptoms: I was pregnant and developed high blood pressure. I was induced for delivery at 36 weeks.
Release 12 — day 42, dose 4
Symptoms: Developed preeclampsia at 36 weeks gestation and was induced. My blood pressure has remained elevated post delivery and I began labetalol this week. Was also treated with this during induction and labor.
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 | Aphonia | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Induced labour | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Postpartum state | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release