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QMF-15556-14644

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
212 / MD
Registered
2021-03-10
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino
Registered dependents
J78-20880-16227 Child or adolescent in my care · Male · 2021-12-31
EH3-31742-45477 Child or adolescent in my care · Female · 2021-12-31

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Moderna
  3. 2021-03-10
    Survey response — day 0, dose 1
    MedDRA: Somnolence — Feeling: Good · Site: Pain
    Free text: Sleepiness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: Good
    Free text: Sniffles, colds
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-07
    Dose 2 — Moderna
  14. 2021-04-07
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  17. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  18. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasopharyngitis — Feeling: Good · Site: Pain
    Free text: Minor colds
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-14
    Survey response — day 7, dose 2
    MedDRA: Nasopharyngitis — Feeling: Good
    Free text: Mild colds
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-07
    Survey response — 3 months, dose 2
    MedDRA: Chest discomfort, Chest pain, Pain, Painful respiration — Feeling: Good
    Free text: Aching/slight discomfort in my upper left chest area, where raising my left arm or breathing in felt like fibrous tissues were snapping inside.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-10-06
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  29. 2021-11-02
    Dose 3 — Moderna
  30. 2022-02-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-05-03
    Survey response — 6 months, dose 3
    MedDRA: Cough, Fatigue, Nasopharyngitis, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Colds, cough, congestion, slight fever, and fatigue. Similar to what I felt after 2nd dose.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-11-02
    Survey response — 12 months, dose 3
    MedDRA: Abortion spontaneous, Fatigue, Headache, Muscle spasms — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I was pregnant when I got the Bivalent vaccine. The day after, I experienced cramping, fatigue, headache, and had a miscarriage 4 days later.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna
32021-11-02Moderna No

Free text

Release 5 — day 0, dose 1

2021-03-10

Systemic reaction (other): Sleepiness

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Sniffles, colds

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Minor colds

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Mild colds

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Aching/slight discomfort in my upper left chest area, where raising my left arm or breathing in felt like fibrous tissues were snapping inside.

Release 11 — 6 months, dose 3

2022-05-03

Symptoms: Colds, cough, congestion, slight fever, and fatigue. Similar to what I felt after 2nd dose.

Release 12 — 12 months, dose 3

2022-11-02

Symptoms: I was pregnant when I got the Bivalent vaccine. The day after, I experienced cramping, fatigue, headache, and had a miscarriage 4 days later.

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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous · · ✓
SDChest discomfort ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDCough · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDMuscle spasms · · ✓
SDNasopharyngitis · · ✓
SDPain ✓ ✓ ✓
SDPainful respiration ✓ ✓ ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SRONasopharyngitis ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release