VU9-45815-72012
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 516 / IA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Amnesia, Fatigue — Feeling: Good · Fatigue or tirednessFree text: Right after the shot it seemed I had a small problem with short term memory, but it seemed to have gone away. It also may have had to do with me getting my hormonal IUD out a couple days before, or was due to fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-30
-
2021-05-04
Dose 2 — Moderna
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, DiarrheaAdult check-in
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: GoodFree text: My back hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-10
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-08-03
-
2021-11-02
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnantMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Right after the shot it seemed I had a small problem with short term memory, but it seemed to have gone away. It also may have had to do with me getting my hormonal IUD out a couple days before, or was due to fatigue.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My back hurts
Release 10 — 6 months, dose 2
Symptoms: Pregnant
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 | Pregnancy | · | · | ✓ |
| SRO | Amnesia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release