T4F-13452-90861
4 vaccinations
2 coded responses
54 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 945 / CA
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
PR8-23271-90713
Child or adolescent in my care · Female · 2022-10-03
Timeline
-
2021-04-15
Registered in v-safe
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2021-04-15
Dose 1 — Moderna
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2021-04-15
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
-
2021-04-29
Survey response — day 14, dose 1MedDRA: Hypersensitivity, Migraine, Stress — Feeling: Good · Be unable to workFree text: Migraine since Tuesday but most likely due to work stress/allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
-
2021-05-13
Dose 2 — Moderna
-
2021-05-13
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
-
2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body achesAdult check-in
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Muscle or body achesAdult check-in
-
2021-05-20
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Itching · Headache, Muscle or body achesAdult check-in
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-08-14
- 2021-11-11
-
2021-11-18
Dose 3 — Moderna
- 2021-11-18
-
2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend schoolFree text: Abdominal is round ligament pain due to pregnancyMedDRA releases: 2024-11 · check-in free text available
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body achesAdult check-in
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-18
- 2021-12-23
- 2021-12-30
- 2022-02-17
- 2022-05-21
-
2022-10-12
Dose 4 — Moderna
- 2022-10-12
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2022-10-13
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-10-14
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-10-15
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2022-10-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tirednessAdult check-in
-
2022-10-19
Health check-in — day 7, dose 4Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2023-01-13
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-10-12 | Moderna | No |
Free text
Release 8 — day 14, dose 1
Symptoms: Migraine since Tuesday but most likely due to work stress/allergies.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Abdominal is round ligament pain due to pregnancy
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release