PDF-29176-66538
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 112 / NY
- Registered
- 2021-08-23
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-23
Registered in v-safe
-
2021-08-23
Dose 1 — Moderna
- 2021-08-23
-
2021-08-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-08-25
-
2021-08-26
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy, Respiratory tract congestion — Feeling: GoodFree text: Congested but its normal during second trimesterMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-27
- 2021-08-28
- 2021-08-29
- 2021-08-30
-
2021-09-06
Survey response — day 14, dose 1MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very fatiguedMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-13
-
2021-09-20
Dose 2 — Moderna
- 2021-09-20
-
2021-09-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-22
- 2021-09-23
-
2021-09-24
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Dyspepsia, Pregnancy — Feeling: GoodFree text: Chest pain but it may be related to pregnancy heartburn.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-25
- 2021-09-26
- 2021-09-27
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
-
2021-11-01
Survey response — day 42, dose 2MedDRA: Headache, Oropharyngeal pain, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, sneezing and headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
- 2022-03-21
- 2022-09-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-23 | Moderna | No |
| 2 | 2021-09-20 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Congested but its normal during second trimester
Release 9 — day 14, dose 1
Symptoms: Very fatigued
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Chest pain but it may be related to pregnancy heartburn.
Release 10 — day 42, dose 2
Symptoms: Sore throat, sneezing and 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 | Fatigue | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Pregnancy | ✓ | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release