Y59-14006-23008
3 vaccinations
6 coded responses
38 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 064 / CT
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZP4-14146-53589
Child or adolescent in my care · Male · 2022-06-22
EMX-45094-34703
Child or adolescent in my care · Female · 2022-06-22
Timeline
-
2020-12-26
Registered in v-safe
-
2020-12-26
Dose 1 — Moderna
- 2020-12-26
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain — Feeling: Good · Site: PainFree text: Left sided neck pain mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2020-12-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
-
2021-01-09
Survey response — day 14, dose 1MedDRA: Morning sickness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Morning sicknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-16
-
2021-01-23
Dose 2 — Moderna
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-04-24
-
2021-07-24
Survey response — 6 months, dose 2MedDRA: SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend schoolFree text: Uri covid negMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-07
Dose 3 — Moderna
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: SweatyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-14
- 2021-11-21
- 2021-11-28
-
2021-12-05
Survey response — day 28, dose 3MedDRA: Upper respiratory tract infection — Feeling: FairFree text: UriMedDRA releases: 2024-11 · check-in free text available
- 2021-12-12
- 2021-12-19
- 2022-02-06
- 2022-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna | |
| 2 | 2021-01-23 | Moderna | |
| 3 | 2021-11-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Left sided neck pain mild
Release 1 — day 14, dose 1
Symptoms: Morning sickness
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia
Release 9 — 6 months, dose 2
Symptoms: Uri covid neg
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sweaty
Release 10 — day 28, dose 3
Symptoms: Uri
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 | Morning sickness | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Upper respiratory tract infection | ✓ | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release