272-67341-89167
3 vaccinations
6 coded responses
36 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 015 / MA
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
XQG-16452-07543
Child or adolescent in my care · · 2022-06-26
Timeline
-
2021-04-30
Registered in v-safe
-
2021-04-30
Dose 1 — Moderna
-
2021-04-30
Survey response — day 0, dose 1MedDRA: Emotional disorder — Feeling: Good · Site: PainFree text: Emotional response, maybe just feeling hopeful after a very very difficult year.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-07
- 2021-05-15
- 2021-05-22
-
2021-05-28
Dose 2 — Moderna
-
2021-05-28
Survey response — day 0, dose 2MedDRA: Hunger — Feeling: GoodFree text: HungryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-29
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Lymph node soreness, more on the side of the injection, but present in both sides.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-30
-
2021-05-31
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node under arm of injection had faded todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-06-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Nausea · Be unable to workAdult check-in
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-26
- 2021-07-02
- 2021-07-09
- 2021-08-27
- 2021-11-26
-
2021-12-26
Dose 3 — Moderna
-
2021-12-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-12-30
- 2021-12-31
- 2022-01-01
- 2022-01-02
- 2022-01-09
- 2022-01-16
- 2022-01-23
- 2022-01-30
- 2022-02-06
- 2022-03-27
-
2022-06-26
Survey response — 6 months, dose 3MedDRA: Herpes zoster, Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Seven colds this year. And now I have shingles.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-26
Survey response — 12 months, dose 3MedDRA: COVID-19, Herpes zoster, Laryngitis, Nasopharyngitis, Pregnancy, Respiratory syncytial virus infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Several colds, laryngitis, shingles, pregnancy, COVID, RSVMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Moderna | |
| 2 | 2021-05-28 | Moderna | |
| 3 | 2021-12-26 | Moderna | No |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Emotional response, maybe just feeling hopeful after a very very difficult year.
Release 8 — day 0, dose 2
Systemic reaction (other): Hungry
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph node soreness, more on the side of the injection, but present in both sides.
Systemic reaction (other): Swollen lymph node under arm of injection had faded today
Release 12 — 6 months, dose 3
Symptoms: Seven colds this year. And now I have shingles.
Release 12 — 12 months, dose 3
Symptoms: Several colds, laryngitis, shingles, pregnancy, COVID, RSV
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 | COVID-19 | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SRO | Emotional disorder | ✓ | ✓ | ✓ |
| SRO | Hunger | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release