QJ8-81414-37135
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 530 / WI
- Registered
- 2021-06-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-09
Registered in v-safe
-
2021-06-09
Dose 1 — Moderna
-
2021-06-09
Survey response — day 0, dose 1MedDRA: Back pain — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Back hurts but I dont know if thats related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
-
2021-06-11
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: GoodFree text: Diarrhea late last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-13
- 2021-06-14
- 2021-06-16
- 2021-06-25
- 2021-06-30
-
2021-07-07
Dose 2 — Moderna
-
2021-07-14
Survey response — day 7, dose 2MedDRA: Chills, Fatigue, Headache, Nausea — Feeling: Good · Chills, Headache, Fatigue or tiredness, NauseaFree text: About 24 hours after my vaccine i had the chills, headache, some nausea and fatigue.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-21
- 2021-07-28
- 2021-08-04
- 2021-08-11
- 2021-08-18
- 2021-10-06
- 2022-01-05
- 2022-07-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-09 | Moderna | |
| 2 | 2021-07-07 | Moderna | No |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Back hurts but I dont know if thats related.
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Diarrhea late last night
Release 9 — day 7, dose 2
Systemic reaction (other): About 24 hours after my vaccine i had the chills, headache, some nausea and fatigue.
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 |
|---|---|---|---|---|
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Nausea | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release