XYJ-40146-41878
3 vaccinations
5 coded responses
39 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 970 / OR
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
7ET-26729-79751
Child or adolescent in my care · Male · 2021-11-14
Timeline
-
2021-01-10
Registered in v-safe
-
2021-01-10
Dose 1 — Moderna
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Aphthous ulcer — Feeling: Good · Site: PainFree text: aphthous ulcers - one on tongue and one on inner upper lipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Aphthous ulcer — Feeling: Good · Site: PainFree text: Aphthous ulcer on inner lip/ canker soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-24
- 2021-01-31
-
2021-02-05
Dose 2 — Moderna
-
2021-02-05
Survey response — day 0, dose 2MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Nasal congestion, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-11-13
Dose 3 — Moderna
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-15
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Premature ovulation — Feeling: GoodFree text: I ovulated a few days earlier than usual.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-02-12
-
2022-05-14
Survey response — 6 months, dose 3MedDRA: Pregnancy — Feeling: FairFree text: Pregnant- 28 weeksMedDRA releases: 2024-11 · check-in free text available
- 2022-11-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): aphthous ulcers - one on tongue and one on inner upper lip
Systemic reaction (other): Aphthous ulcer on inner lip/ canker sore
Release 3 — day 0, dose 2
Systemic reaction (other): Nasal congestion, sore throat
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I ovulated a few days earlier than usual.
Release 11 — 6 months, dose 3
Symptoms: Pregnant- 28 weeks
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 | Aphthous ulcer | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Premature ovulation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release