QRW-15737-83414
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 660 / KS
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-01-12
Registered in v-safe
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-12
Dose 2 — Moderna
- 2021-02-17
- 2021-02-18
- 2021-02-19
-
2021-02-26
Survey response — day 14, dose 2MedDRA: Abortion spontaneous — Feeling: FairFree text: Blighted ovum miscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-16
- 2021-08-13
-
2022-02-12
Survey response — 12 months, dose 2MedDRA: Fatigue, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Good · Be unable to work or attend schoolFree text: Late December sinus congestion, sinus drainage, and fatigueMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Pregnant
Release 4 — day 14, dose 2
Symptoms: Blighted ovum miscarriage
Release 11 — 12 months, dose 2
Symptoms: Late December sinus congestion, sinus drainage, 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 |
|---|---|---|---|---|
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release