SDL-95537-29575
5 vaccinations
10 coded responses
40 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 981 / WA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
EDS-24981-54975
Child or adolescent in my care · Female · 2022-06-20
UTR-26247-06616
Child or adolescent in my care · Female · 2022-06-20
8MR-17891-75076
Child or adolescent in my care · Male · 2022-12-19
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-03-26
Registered in v-safe
- 2021-03-26
- 2021-04-02
-
2021-04-09
Survey response — day 21, dose 1MedDRA: Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold with a lot congestion (likely from daughter in preschool). Tested for covid - negative for covid and antibodies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-18
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-25
- 2021-04-30
- 2021-05-07
- 2021-05-15
- 2021-05-23
- 2021-05-30
- 2021-07-16
-
2021-10-15
Survey response — 6 months, dose 2MedDRA: Influenza like illness, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Congestion and fluish for a couple daysMedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-03
-
2021-11-08
Survey response — day 14, dose 3MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: General nausea and fatigue (likely worsening from pregnancy)MedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Survey response — day 21, dose 3MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold/cough/congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Influenza, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Congestion flo symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-14
Dose 4 — Moderna
- 2022-04-25
- 2022-06-01
-
2022-07-14
Survey response — 3 months, dose 4MedDRA: Delivery, Pharyngitis streptococcal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Had strep throat and gave birthMedDRA releases: 2024-11 · check-in free text available
-
2022-07-14
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
-
2022-07-15
Call successfulNot applicable - Accidental Reporting
- 2022-10-13
-
2022-11-30
Dose 5 — Moderna
- 2022-12-19
- 2022-12-21
-
2022-12-28
Survey response — day 28, dose 5MedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: Couch congestionMedDRA releases: 2024-11 · check-in free text available
- 2023-01-05
- 2023-01-13
-
2023-03-01
Survey response — 3 months, dose 5MedDRA: COVID-19, Cough, Fatigue, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
-
2023-05-31
Survey response — 6 months, dose 5MedDRA: Staphylococcal infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-05-31
Call case (no matching report) — SuccessfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-06-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
| 5 | 2022-11-30 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 21, dose 1
Symptoms: Cold with a lot congestion (likely from daughter in preschool). Tested for covid - negative for covid and antibodies.
Release 10 — 6 months, dose 2
Symptoms: Congestion and fluish for a couple days
Release 10 — day 14, dose 3
Symptoms: General nausea and fatigue (likely worsening from pregnancy)
Release 10 — day 21, dose 3
Symptoms: Cold/cough/congestion
Release 11 — 3 months, dose 3
Symptoms: Congestion flo symptoms
Release 12 — 3 months, dose 4
Symptoms: Had strep throat and gave birth
Release 12 — day 28, dose 5
Symptoms: Couch congestion
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 | COVID-19 | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Staphylococcal infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release