337-30162-35182
3 vaccinations
3 coded responses
34 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 201 / VA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
A9W-25233-26736
Child or adolescent in my care · Male · 2021-11-07
TLL-28807-10385
Child or adolescent in my care · Male · 2022-06-27
NPP-51427-76345
Child or adolescent in my care · Female · 2022-06-27
UW6-25124-35809
Child or adolescent in my care · Male · 2022-06-27
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
- 2021-03-23
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-30
- 2021-04-06
- 2021-04-15
-
2021-04-19
Dose 2 — Moderna
- 2021-04-19
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-28
- 2021-05-05
- 2021-05-10
- 2021-05-19
- 2021-05-31
-
2021-07-19
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: Head cold.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
-
2021-11-19
Dose 3 — Moderna
- 2021-11-19
- 2021-11-20
- 2021-11-22
- 2021-11-24
- 2021-11-25
- 2021-11-28
- 2021-12-05
- 2021-12-10
- 2021-12-19
- 2021-12-24
- 2021-12-31
-
2022-02-20
Survey response — 3 months, dose 3MedDRA: Rhinorrhoea, Vomiting — Feeling: GoodFree text: Runny nose, vomitingMedDRA releases: 2024-11 · check-in free text available
-
2022-05-22
Survey response — 6 months, dose 3MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: GoodFree text: Cold, cough, runny nose.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Free text
Release 9 — 3 months, dose 2
Symptoms: Head cold.
Release 11 — 3 months, dose 3
Symptoms: Runny nose, vomiting
Release 11 — 6 months, dose 3
Symptoms: Cold, cough, runny nose.
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 | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release