PJ3-10029-86902
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 955 / CA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Dose 1 — Moderna
-
2020-12-28
Registered in v-safe
-
2020-12-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · HeadacheAdult check-in
- 2020-12-30
-
2020-12-31
Survey response — day 7, dose 1MedDRA: Blood glucose decreased, Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, NauseaFree text: Feeling faint/low blood sugarMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-14
-
2021-01-21
Dose 2 — Moderna
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Dehydration, Visual impairment — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Visual disturbances, dehydrationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Visual impairment — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Visual disturbancesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
-
2021-01-28
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-04-22
- 2021-07-22
-
2021-09-27
Dose 3 — Moderna
-
2021-10-23
Survey response — day 21, dose 3MedDRA: Bell's palsy, Pregnancy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Bell's palsy likely related to pregnancyMedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
- 2022-09-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-09-27 | Moderna | No |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Feeling faint/low blood sugar
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Visual disturbances, dehydration
Systemic reaction (other): Visual disturbances
Release 10 — day 21, dose 3
Symptoms: Bell's palsy likely related to pregnancy
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 | Bell's palsy | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Blood glucose decreased | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release