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Z7M-19759-01625

2 vaccinations 2 coded responses 25 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
641 / MO
Registered
2021-05-04
Relationship
Self
Race
Other
Ethnicity
N/A

Timeline

  1. 2021-05-04
    Registered in v-safe
  2. 2021-05-04
    Dose 1 — Moderna
  3. 2021-05-04
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-05-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-05-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-05-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-05-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-06-01
    Dose 2 — Moderna
  14. 2021-06-01
    Survey response — day 0, dose 2
    MedDRA: Breast feeding — Feeling: Good · Site: Pain
    Free text: Im a breastfeeding mother. My first shot definitely had an impact on my baby. She was not feverish that I know of but she was pretty upset for about 24 hours. There is no other means I have found of reporting this kind of information.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast feeding, Pre-existing disease, Pregnancy — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Im a breastfeeding mother and my baby was very impacted by the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-06-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-06-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-06-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-06-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-31
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-06-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-04Moderna
22021-06-01Moderna

Free text

Release 8 — day 0, dose 2

2021-06-01

Systemic reaction (other): Im a breastfeeding mother. My first shot definitely had an impact on my baby. She was not feverish that I know of but she was pretty upset for about 24 hours. There is no other means I have found of reporting this kind of information.

Release 8 — days 1–6 daily, dose 2

2021-06-02

Systemic reaction (other): Im a breastfeeding mother and my baby was very impacted by the vaccine.

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
SROBreast feeding ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓

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