ST9-85776-14721
5 vaccinations
3 coded responses
49 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 908 / CA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
PRF-10985-02943
Child or adolescent in my care · Female · 2022-06-25
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · Site: Pain · NauseaFree text: Experienced slight nausea last night (the day of the injection but after I had completed my v-safe check in)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-08
-
2021-11-01
Dose 3 — ModernaCo-administered: Flu
-
2021-11-01
Survey response — day 0, dose 3MedDRA: Pregnancy — Feeling: FairFree text: 11 weeks pregnant, morning sicknessMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
- 2022-05-02
-
2022-05-10
Dose 4 — Moderna
- 2022-08-09
-
2022-10-31
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-08
- 2022-11-09
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2022-12-15
- 2023-01-30
- 2023-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-01 | Moderna | Flu |
| 4 | 2022-05-10 | Moderna | No |
| 5 | 2022-10-31 | Pfizer-BioNTech | Flu |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Experienced slight nausea last night (the day of the injection but after I had completed my v-safe check in)
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia
Release 10 — day 0, dose 3
Systemic reaction (other): 11 weeks pregnant, morning sickness
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 |
|---|---|---|---|---|
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release