2HV-19518-01641
4 vaccinations
2 coded responses
31 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 402 / KY
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
B94-92285-67077
Child or adolescent in my care · Male · 2022-06-24
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-10
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2021-10-28
Dose 3 — Moderna
- 2022-02-08
- 2022-04-28
-
2022-09-22
Dose 4 — ModernaCo-administered: Flu
- 2022-10-21
- 2022-10-27
- 2022-11-03
-
2022-12-22
Survey response — 3 months, dose 4MedDRA: Viral infection — Feeling: Good · Be unable to work or attend schoolFree text: Noncovid viral illnessMedDRA releases: 2024-11 · check-in free text available
-
2023-03-23
Survey response — 6 months, dose 4MedDRA: Malignant melanoma — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-09-22 | Moderna | Flu |
Free text
Release 12 — 3 months, dose 4
Symptoms: Noncovid viral illness
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 | Malignant melanoma | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release