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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

  1. 2021-01-06
    Registered in v-safe
  2. 2021-01-06
    Dose 1 — Moderna
  3. 2021-01-06
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Nausea
    Adult check-in
  4. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-13
    Survey response — day 7, dose 1
    MedDRA: Back pain — Feeling: Good · Muscle or body aches
    Free text: Lower back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-21
    Survey response — day 14, dose 1
    MedDRA: Back pain, Injection site pain — Feeling: Good
    Free text: Lower back pain. Sore in the injection side one week after the covid vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-03
    Dose 2 — Moderna
  14. 2021-02-03
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  16. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches · Be unable to work
    Adult check-in
  17. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-02-03
    Survey response — 12 months, dose 2
    MedDRA: Abortion spontaneous, Stillbirth — Feeling: Fair · Be unable to do your normal daily activities
    Free text: 1 miscarriage and 1 stillbirth
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-03Moderna

Free text

Release 1 — day 7, dose 1

2021-01-13

Systemic reaction (other): Lower back pain

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Lower back pain. Sore in the injection side one week after the covid vaccine

Release 11 — 12 months, dose 2

2022-02-03

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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous · · ✓
SDBack pain ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDStillbirth · · ✓
SROBack pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release