QHV-15814-99613
1 vaccination
2 coded responses
11 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 851 / AZ
- Registered
- 2021-08-18
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-18
Registered in v-safe
-
2021-08-18
Dose 1 — Moderna
-
2021-08-18
Survey response — day 0, dose 1MedDRA: Headache, Pregnancy — Feeling: Fair · Site: Pain, Swelling · HeadacheFree text: Currenty 32 weeks pregnant, headache did happen though after the shotMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · DiarrheaAdult check-in
- 2021-08-20
- 2021-08-21
- 2021-08-22
- 2021-08-25
-
2021-09-01
Survey response — day 14, dose 1MedDRA: Cough, Nasal congestion, Pain in extremity — Feeling: Poor · Be unable to work or attend schoolFree text: I wasnt sure if I was sick from my daughter bringing something home from school since it was around my vaccination date so I never mentioned any issues besides the sore arm. But I have been coughing and congested nose since about the 23rdMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-08
- 2021-09-15
- 2021-09-22
- 2021-09-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-18 | Moderna | No |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Currenty 32 weeks pregnant, headache did happen though after the shot
Release 9 — day 14, dose 1
Symptoms: I wasnt sure if I was sick from my daughter bringing something home from school since it was around my vaccination date so I never mentioned any issues besides the sore arm. But I have been coughing and congested nose since about the 23rd
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 | Cough | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release