2ZP-31895-96794
3 vaccinations
3 coded responses
35 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 630 / MO
- Registered
- 2021-08-04
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KPD-78159-71166
Child or adolescent in my care · Female · 2021-08-25
Timeline
-
2021-08-04
Registered in v-safe
-
2021-08-04
Dose 1 — Moderna
- 2021-08-04
-
2021-08-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-08-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-08-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-09
- 2021-08-10
- 2021-08-11
- 2021-08-18
- 2021-08-25
-
2021-08-31
Dose 2 — Moderna
-
2021-09-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-09-02
-
2021-09-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-09-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2021-09-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
- 2021-09-07
- 2021-09-16
- 2021-09-21
- 2021-09-30
- 2021-10-05
-
2021-10-13
Survey response — day 42, dose 2MedDRA: Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
-
2022-04-22
Dose 3 — Moderna
-
2022-04-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2022-04-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-04-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-04-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2022-04-29
Health check-in — day 7, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-29
- 2022-06-03
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2022-07-22
Survey response — 3 months, dose 3MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Runny nose Sore throat CoughMedDRA releases: 2024-11 · check-in free text available
-
2023-04-22
Survey response — 12 months, dose 3MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-04 | Moderna | No |
| 2 | 2021-08-31 | Moderna | No |
| 3 | 2022-04-22 | Moderna | No |
Free text
Release 10 — day 42, dose 2
Symptoms: Runny nose
Release 12 — 3 months, dose 3
Symptoms: Runny nose Sore throat Cough
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 | Adverse reaction | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release