SGV-31898-91523
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 038 / NH
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-03
Registered in v-safe
- 2021-01-03
- 2021-01-04
- 2021-01-07
- 2021-01-14
- 2021-01-21
-
2021-01-28
Dose 2 — Moderna
-
2021-01-28
Survey response — day 0, dose 2MedDRA: Urticaria — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: HivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-06
- 2021-02-11
- 2021-02-18
-
2021-02-25
Survey response — day 28, dose 2MedDRA: Adnexa uteri pain, Dysmenorrhoea, Menstruation irregular, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Left ovary pain. Didnt get my period this month. Dr. confirmed through bloodwork that I am not pregnant. I really dont think that its related to the vax but figured since I got my shot last month & my cycles always regular might as well ment · Healthcare visit (other): Bloodwork and upcoming ultrasoundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-04
Survey response — day 35, dose 2MedDRA: Hypersensitivity, Rash, Urticaria — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Body hives and rash for no reason. Ended up needing prednisone. My allergies have been very reactive. I also reacted severely to the second vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-11
Survey response — day 42, dose 2MedDRA: Hypersensitivity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Increased allergen reactivityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-29
Survey response — 3 months, dose 2MedDRA: Adverse reaction, Unevaluable event — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Immune system kinda freaked out on me after my vax · Healthcare visit (other): Connected to immunologyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Report sent to call center — 3 months, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-02
- 2021-07-29
-
2022-01-28
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: My entire fam got covid. Like legit 20 of usMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Call center
4 call center cases
4 unsuccessful
Free text
Release 2 — day 0, dose 2
Systemic reaction (other): Hives
Release 4 — day 28, dose 2
Symptoms: Left ovary pain. Didnt get my period this month. Dr. confirmed through bloodwork that I am not pregnant. I really dont think that its related to the vax but figured since I got my shot last month & my cycles always regular might as well ment
Healthcare visit (other): Bloodwork and upcoming ultrasound
Release 5 — day 35, dose 2
Symptoms: Body hives and rash for no reason. Ended up needing prednisone. My allergies have been very reactive. I also reacted severely to the second vaccine.
Release 5 — day 42, dose 2
Symptoms: Increased allergen reactivity
Release 8 — 3 months, dose 2
Symptoms: Immune system kinda freaked out on me after my vax
Healthcare visit (other): Connected to immunology
Release 11 — 12 months, dose 2
Symptoms: My entire fam got covid. Like legit 20 of us
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Adnexa uteri pain | ✓ | · | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Amenorrhoea | ○ | · | ○ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysmenorrhoea | ○ | ✓ | ○ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release