Q82-14358-96206
4 vaccinations
4 coded responses
53 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 601 / IL
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Good · Site: PainFree text: Lack of appetite - mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NauseaAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-10
-
2021-11-11
Dose 3 — Moderna
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, NauseaAdult check-in
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · Fatigue or tiredness, NauseaAdult check-in
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · Headache, Muscle or body aches, NauseaAdult check-in
-
2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Injection site bruising — Feeling: Good · Site: Pain, Redness · Nausea, Abdominal painFree text: Mild bruising at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2022-02-10
-
2022-05-12
Survey response — 6 months, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Dose 4 — ModernaCo-administered: Flu
- 2022-10-25
-
2022-10-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
-
2022-12-06
Survey response — day 42, dose 4MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: GoodFree text: Had a cold and congestionMedDRA releases: 2024-11 · check-in free text available
- 2023-01-24
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-10-25 | Moderna | Flu |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Lack of appetite - mild
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Mild bruising at injection site
Release 11 — 6 months, dose 3
Symptoms: Pregnancy
Release 12 — day 42, dose 4
Symptoms: Had a cold and congestion
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 | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release