ZVR-13425-18292
4 vaccinations
6 coded responses
49 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 945 / CA
- Registered
- 2021-05-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
8CD-88651-53054
Child or adolescent in my care · Female · 2022-06-20
Timeline
-
2021-05-18
Registered in v-safe
-
2021-05-18
Dose 1 — Moderna
-
2021-05-18
Survey response — day 0, dose 1MedDRA: Fatigue, Pregnancy — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: I'm 14 weeks pregnant, and was fatigued before the vaccine, tooMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Neck is stiff and sore on the same side as the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-05-20
- 2021-05-21
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-06-01
- 2021-06-08
-
2021-06-15
Dose 2 — Moderna
- 2021-06-15
-
2021-06-16
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Headache, Self-medication — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Have been taking Tylenol for the headache, which may have prevented a fever. I did feel slightly warm yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Decreased appetite, Dry eye, Lymph node pain — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessFree text: Armpit (lymph node) pain on injection side. Eyes have been dryer than usual in the past 2 days. Have also noticed decreased appetite since the shot, but it could be due to the heatwaveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-06-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NauseaAdult check-in
- 2021-06-20
- 2021-06-21
- 2021-06-22
- 2021-07-01
- 2021-07-06
- 2021-07-13
- 2021-07-20
- 2021-07-27
- 2021-09-14
- 2021-12-14
-
2021-12-29
Dose 3 — Moderna
- 2022-01-02
- 2022-01-03
- 2022-01-04
- 2022-01-05
-
2022-01-12
Survey response — day 14, dose 3MedDRA: Eustachian tube obstruction, Self-medication, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinusitis with eustachian tube blockage, treating with Afrin and Tylenol per GP recommendation. Haven't been tested for Covid, but don't have a cough or feverMedDRA releases: 2024-11 · check-in free text available
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2022-01-12
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-14
- 2022-01-19
- 2022-01-26
- 2022-02-02
- 2022-02-09
- 2022-03-30
- 2022-06-29
-
2022-09-09
Dose 4 — ModernaCo-administered: Flu
-
2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-12
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tirednessAdult check-in
- 2022-09-14
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-18 | Moderna | |
| 2 | 2021-06-15 | Moderna | |
| 3 | 2021-12-29 | Moderna | No |
| 4 | 2022-09-09 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): I'm 14 weeks pregnant, and was fatigued before the vaccine, too
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Neck is stiff and sore on the same side as the injection
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Have been taking Tylenol for the headache, which may have prevented a fever. I did feel slightly warm yesterday
Systemic reaction (other): Armpit (lymph node) pain on injection side. Eyes have been dryer than usual in the past 2 days. Have also noticed decreased appetite since the shot, but it could be due to the heatwave
Release 10 — day 14, dose 3
Symptoms: Sinusitis with eustachian tube blockage, treating with Afrin and Tylenol per GP recommendation. Haven't been tested for Covid, but don't have a cough or fever
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 | Eustachian tube obstruction | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ○ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release