SF2-24005-71114
3 vaccinations
7 coded responses
20 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 467 / IN
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
6C7-27337-27892
Child or adolescent in my care · Female · 2021-12-19
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Moderna
-
2021-04-13
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-04-18
- 2021-04-20
-
2021-05-25
Dose 2 — Moderna
-
2021-12-16
Dose 3 — Moderna
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Lacrimation increased, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea, Sneezing — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat, sinus pressure, runny nose, runny eyes, sneezingMedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Discharge, Lacrimation increased, Productive cough, Rhinorrhoea — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lots of drainage, wet cough, runny eyes and noseMedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Lacrimation increased, Rhinorrhoea — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Runny eyes and nose, coughMedDRA releases: 2024-11 · check-in free text available
-
2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Discharge, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tirednessFree text: Severe congestion and drainageMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Survey response — day 7, dose 3MedDRA: Discharge, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tirednessFree text: Lots of drainage and congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
-
2022-01-06
Survey response — day 21, dose 3MedDRA: Blood pressure increased, Migraine, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Severe migraine, congestion, increased blood pressureMedDRA releases: 2024-11 · check-in free text available
-
2022-01-06
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-01-07
- 2022-01-13
- 2022-01-20
- 2022-01-27
- 2022-03-17
- 2022-06-16
-
2022-12-16
Survey response — 12 months, dose 3MedDRA: Malaise, Viral infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sick with random viruses, possibly RSV at one point. No COVID yet that I'm aware ofMedDRA releases: 2024-11 · check-in free text available
-
2022-12-16
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-19
- 2022-12-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-25 | Moderna | No |
| 3 | 2021-12-16 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore throat, sinus pressure, runny nose, runny eyes, sneezing
Systemic reaction (other): Lots of drainage, wet cough, runny eyes and nose
Systemic reaction (other): Runny eyes and nose, cough
Systemic reaction (other): Severe congestion and drainage
Release 10 — day 7, dose 3
Systemic reaction (other): Lots of drainage and congestion
Release 10 — day 21, dose 3
Symptoms: Severe migraine, congestion, increased blood pressure
Release 12 — 12 months, dose 3
Symptoms: Sick with random viruses, possibly RSV at one point. No COVID yet that I'm aware of
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 | Blood pressure increased | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Discharge | · | · | ✓ |
| SRO | Lacrimation increased | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
| SRO | Productive cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release