V4B-15323-86301
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 190 / PA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
-
2021-01-13
Survey response — day 7, dose 1MedDRA: Back pain — Feeling: Good · Muscle or body achesFree text: Lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Back pain, Injection site pain — Feeling: GoodFree text: Lower back pain. Sore in the injection side one week after the covid vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches · Be unable to workAdult check-in
- 2021-02-07
- 2021-02-09
- 2021-02-10
- 2021-02-19
- 2021-02-26
- 2021-03-17
- 2021-08-04
-
2022-02-03
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Stillbirth — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 1 miscarriage and 1 stillbirthMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Lower back pain
Release 2 — day 14, dose 1
Symptoms: Lower back pain. Sore in the injection side one week after the covid vaccine
Release 11 — 12 months, dose 2
Symptoms: 1 miscarriage and 1 stillbirth
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 | Abortion spontaneous | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Stillbirth | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release