TLE-20133-48208
4 vaccinations
5 coded responses
29 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 921 / CA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZL3-24367-31135
Child or adolescent in my care · Male · 2022-06-25
Timeline
-
2021-03-23
Dose 1 — Moderna
-
2021-03-30
Registered in v-safe
-
2021-03-30
Health check-in — day 7, dose 1Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-06
- 2021-04-15
-
2021-04-20
Dose 2 — Moderna
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-22
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-04-27
Survey response — day 7, dose 2MedDRA: Menstruation irregular — Feeling: Good · Fatigue or tirednessFree text: Period started three days earlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
-
2021-07-20
Survey response — 3 months, dose 2MedDRA: Injection site pain, Injection site reaction, Pain — Feeling: GoodFree text: Very occasional throb of pain at injection site.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-19
-
2021-12-04
Dose 3 — Moderna
-
2022-04-20
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Dose 4 — Moderna
-
2022-11-07
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: These symptoms were on 06Nov.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-08
-
2022-11-09
Survey response — days 1–6 daily, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · FeverFree text: Probably a cold from my preschoolerMedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
- 2022-11-11
- 2022-11-12
- 2022-11-19
- 2022-11-26
- 2022-12-03
- 2022-12-10
- 2022-12-17
- 2023-02-04
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-12-04 | Moderna | No |
| 4 | 2022-11-05 | Moderna | No |
Free text
Release 8 — day 7, dose 2
Systemic reaction (other): Period started three days early
Release 9 — 3 months, dose 2
Symptoms: Very occasional throb of pain at injection site.
Release 11 — 12 months, dose 2
Symptoms: Pregnancy
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): These symptoms were on 06Nov.
Systemic reaction (other): Probably a cold from my preschooler
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 | Injection site pain | · | · | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release