SG2-18480-18069
4 vaccinations
4 coded responses
27 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 468 / IN
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Moderna
-
2021-03-25
Registered in v-safe
- 2021-03-25
- 2021-03-26
- 2021-03-28
- 2021-03-30
-
2021-04-06
Survey response — day 14, dose 1MedDRA: Gastrointestinal disorder, Hypersensitivity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I think they are unrelated to the vaccine. I have had some digestive issues and I have had a bad reaction to an insect sting I received on 4/4.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-05-01
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-29
- 2021-06-03
-
2021-10-29
Dose 3 — ModernaCo-administered: Flu
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tirednessAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Itching · NoneAdult check-in
-
2021-11-07
Survey response — day 7, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessFree text: Have a bad cold, unrelated to vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-01-30
- 2022-04-30
-
2022-10-03
Dose 4 — Moderna
- 2022-10-06
-
2022-11-02
Survey response — day 28, dose 4MedDRA: Pregnancy — Feeling: GoodFree text: Unrelated, but I found out I am pregnant.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-16
- 2023-01-02
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-10-29 | Moderna | Flu |
| 4 | 2022-10-03 | Moderna | No |
Free text
Release 7 — day 14, dose 1
Symptoms: I think they are unrelated to the vaccine. I have had some digestive issues and I have had a bad reaction to an insect sting I received on 4/4.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite
Release 10 — day 7, dose 3
Systemic reaction (other): Have a bad cold, unrelated to vaccine
Release 12 — day 28, dose 4
Symptoms: Unrelated, but I found out I am pregnant.
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 | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release