3DG-21826-97629
3 vaccinations
4 coded responses
39 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 902 / CA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
PM6-13070-81484
Child or adolescent in my care · Female · 2021-10-19
3GU-46010-39693
Child or adolescent in my care · Male · 2022-06-11
R2N-11242-19166
Child or adolescent in my care · Female · 2022-06-11
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
-
2021-03-23
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-20
Dose 2 — Moderna
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: GoodFree text: I had a slightly numb/ tingling feeling down the left side of my body, including my face yesterday evening. My shot was on the left hand side. Those symptoms had disappeared by this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
-
2021-05-25
Survey response — day 35, dose 2MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: FairFree text: Cold symptoms: sore throat and stuffy nose. My daughter had the same symptoms and received a negative covid test, so I think its just a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-01
Survey response — day 42, dose 2MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: The whole family had a cold: runny nose and sore throat. My 3 kids all got COVID tests which came back NEGATIVE, and there was a cold going round school. No cough, fever, vomiting, or diarrhea symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-20
- 2021-10-19
-
2021-11-30
Dose 3 — Moderna
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-30
- 2022-01-04
- 2022-01-11
- 2022-03-01
- 2022-05-31
- 2022-11-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-11-30 | Moderna | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): No
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I had a slightly numb/ tingling feeling down the left side of my body, including my face yesterday evening. My shot was on the left hand side. Those symptoms had disappeared by this morning.
Release 8 — day 35, dose 2
Symptoms: Cold symptoms: sore throat and stuffy nose. My daughter had the same symptoms and received a negative covid test, so I think its just a cold.
Release 8 — day 42, dose 2
Symptoms: The whole family had a cold: runny nose and sore throat. My 3 kids all got COVID tests which came back NEGATIVE, and there was a cold going round school. No cough, fever, vomiting, or diarrhea symptoms.
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 | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release