392-50882-77548
3 vaccinations
1 coded response
15 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 660 / KS
- Registered
- 2021-11-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Moderna
-
2021-04-22
Dose 2 — Moderna
-
2021-11-03
Registered in v-safe
-
2021-11-03
Dose 3 — Moderna
-
2021-11-03
Survey response — day 0, dose 3MedDRA: Headache — Feeling: Fair · Site: Pain, SwellingFree text: Mild headacheMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-11-08
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-04
- 2022-05-04
- 2022-11-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | No |
| 2 | 2021-04-22 | Moderna | No |
| 3 | 2021-11-03 | Moderna | No |
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Mild headache
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 | Headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release