SNM-19964-59772
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 871 / NM
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-21
Dose 1 — Moderna
-
2021-01-02
Registered in v-safe
-
2021-01-02
Survey response — day 7, dose 1MedDRA: Oral mucosal blistering, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Oral blisters, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-13
-
2021-01-21
Survey response — day 28, dose 1MedDRA: Abdominal pain — Feeling: GoodFree text: Abdominal pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Dose 2 — Moderna
- 2021-01-25
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-01-27
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-28
-
2021-07-28
Survey response — 6 months, dose 2MedDRA: Fatigue, Pelvic pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Fatigue. Pelvic pain. · Healthcare visit (other): I have an appt in AugustMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-05
-
2022-01-27
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: I am pregnant. I received my boosterMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Oral blisters, sore throat
Release 2 — day 28, dose 1
Symptoms: Abdominal pain.
Release 9 — 6 months, dose 2
Release 11 — 12 months, dose 2
Symptoms: I am pregnant. I received my booster
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Pelvic pain | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Oral mucosal blistering | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release