URQ-26699-56172
4 vaccinations
5 coded responses
30 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 208 / MD
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
VAJ-94465-07040
Child or adolescent in my care · Male · 2022-10-14
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-20
- 2021-01-22
-
2021-01-29
Survey response — day 14, dose 1MedDRA: Abdominal discomfort — Feeling: GoodFree text: Ive had some GI upset but I cant really say its from the vaccine. It could just be a fluke!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — day 21, dose 1MedDRA: Myalgia — Feeling: GoodFree text: Back muscles feel sore not sure if it is related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Dose 2 — Moderna
-
2021-02-19
Survey response — day 7, dose 2MedDRA: Chills, Headache, Nausea, Pain — Feeling: Good · Muscle or body achesFree text: Thursday evening (2/11/21) after my 2nd dose I felt nauseous and had a headache. The whole next day I felt nauseated and had bad body aches and chills. They went away by the time I woke up on Saturday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-06
- 2021-03-11
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2021-03-19
Survey response — day 35, dose 2MedDRA: Back pain — Feeling: FairFree text: Back pain- probably unrelated to the vaccine because I had had it on and off for years.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-08-13
-
2021-10-22
Dose 3 — Moderna
- 2021-10-29
-
2021-11-05
Survey response — day 14, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: Muscle cramps in my hamstrings and calves. Probably pregnancy related though!MedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-21
- 2021-11-28
- 2021-12-03
- 2022-01-21
- 2022-04-24
-
2022-09-27
Dose 4 — ModernaCo-administered: Flu
- 2022-10-14
- 2022-10-22
- 2022-10-25
- 2022-11-01
- 2022-11-10
- 2022-12-27
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-09-27 | Moderna | Flu |
Free text
Release 3 — day 14, dose 1
Symptoms: Ive had some GI upset but I cant really say its from the vaccine. It could just be a fluke!
Release 3 — day 21, dose 1
Symptoms: Back muscles feel sore not sure if it is related.
Release 4 — day 7, dose 2
Systemic reaction (other): Thursday evening (2/11/21) after my 2nd dose I felt nauseous and had a headache. The whole next day I felt nauseated and had bad body aches and chills. They went away by the time I woke up on Saturday.
Release 5 — day 35, dose 2
Symptoms: Back pain- probably unrelated to the vaccine because I had had it on and off for years.
Release 10 — day 14, dose 3
Symptoms: Muscle cramps in my hamstrings and calves. Probably pregnancy related though!
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release