PM5-17208-88219
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 435 / OH
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-17
Dose 1 — Moderna
-
2021-04-19
Registered in v-safe
-
2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painFree text: MalaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-04-22
- 2021-04-23
-
2021-05-01
Survey response — day 14, dose 1MedDRA: Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Wry neck on the side of the injection. Could be completely unrelated but thought Id mention due to my sever arm pain post injection. · Healthcare visit (other): ChiropractorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-10
-
2021-05-15
Dose 2 — Moderna
-
2021-05-15
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Nausea, DiarrheaAdult check-in
-
2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea, Abdominal painFree text: Still feeling malaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
-
2021-05-25
Survey response — day 7, dose 2MedDRA: Pregnancy test positive — Feeling: GoodFree text: Positive Pregnancy Test today!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-29
Survey response — day 14, dose 2MedDRA: Pregnancy — Feeling: FairFree text: Im now 5 weeks 2 days pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
- 2021-06-12
- 2021-06-21
- 2021-06-28
- 2021-08-14
- 2021-11-13
-
2022-04-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Moderna | |
| 2 | 2021-05-15 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Malaise
Release 8 — day 14, dose 1
Symptoms: Wry neck on the side of the injection. Could be completely unrelated but thought Id mention due to my sever arm pain post injection.
Healthcare visit (other): Chiropractor
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Still feeling malaise
Release 8 — day 7, dose 2
Systemic reaction (other): Positive Pregnancy Test today!
Release 8 — day 14, dose 2
Symptoms: Im now 5 weeks 2 days pregnant
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pregnancy test positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release