32R-27656-63247
4 vaccinations
2 coded responses
45 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 950 / CA
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
62L-17521-93580
Child or adolescent in my care · Female · 2022-06-22
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
-
2021-03-25
Health check-in — day 0, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-30
- 2021-03-31
- 2021-04-03
- 2021-04-08
- 2021-04-17
-
2021-04-22
Dose 2 — Moderna
-
2021-04-22
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: PainFree text: light headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Bruise at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-24
- 2021-10-21
-
2021-10-30
Dose 3 — Moderna
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-06
- 2021-11-22
- 2021-11-27
- 2021-12-11
- 2022-01-29
- 2022-04-30
-
2022-09-02
Dose 4 — Moderna
- 2022-09-02
- 2022-09-03
- 2022-09-04
- 2022-09-05
- 2022-09-06
- 2022-09-07
- 2022-09-08
- 2022-09-09
- 2022-09-16
- 2022-09-30
- 2022-10-07
- 2022-10-16
- 2023-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-09-02 | Moderna | No |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): light head
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Bruise at injection site
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 |
|---|---|---|---|---|
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release