R8F-19310-43517
4 vaccinations
3 coded responses
38 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 117 / NY
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FPW-15980-88314
Child or adolescent in my care · Male · 2022-06-27
LPU-23557-04236
Child or adolescent in my care · Male · 2022-06-27
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-11
- 2021-01-13
- 2021-01-14
- 2021-01-16
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Moderna
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body achesAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
-
2021-02-27
Survey response — day 21, dose 2MedDRA: Breast feeding, Galactostasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Milk clog from breastfeeding; milk blebMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-06
- 2021-03-15
- 2021-03-20
-
2021-05-08
Survey response — 3 months, dose 2MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Seasonal allergies are worseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-07
- 2021-08-25
-
2021-12-19
Dose 3 — Moderna
- 2022-02-06
- 2022-03-21
- 2022-06-19
-
2022-11-06
Dose 4 — Moderna
-
2022-11-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, NauseaAdult check-in
-
2022-11-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Chills, Fatigue or tirednessAdult check-in
- 2022-11-12
- 2022-11-13
- 2022-11-20
- 2022-11-28
- 2022-12-06
- 2022-12-12
- 2022-12-20
-
2023-02-06
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, Rhinitis allergic — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-12-19 | Moderna | No |
| 4 | 2022-11-06 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 21, dose 2
Symptoms: Milk clog from breastfeeding; milk bleb
Release 8 — 3 months, dose 2
Symptoms: Seasonal allergies are worse
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 | Breast feeding | ✓ | ✓ | ✓ |
| SD | Galactostasis | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinitis allergic | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release