3FN-21195-22495
4 vaccinations
1 coded response
28 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 799 / TX
- Registered
- 2021-12-11
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
N84-85731-15360
Child or adolescent in my care · Male · 2022-10-23
Timeline
-
2021-03-29
Dose 1 — Moderna
-
2021-04-26
Dose 2 — Moderna
-
2021-12-11
Registered in v-safe
-
2021-12-11
Dose 3 — ModernaCo-administered: Flu
-
2021-12-11
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-13
-
2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
-
2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-12-16
- 2021-12-17
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
-
2022-01-22
Survey response — day 42, dose 3MedDRA: Cough, Pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chest congestion, cough, body achesMedDRA releases: 2024-11 · check-in free text available
- 2022-03-12
- 2022-06-11
-
2022-10-21
Dose 4 — ModernaCo-administered: Flu
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2023-01-22
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | No |
| 2 | 2021-04-26 | Moderna | No |
| 3 | 2021-12-11 | Moderna | Flu |
| 4 | 2022-10-21 | Moderna | Flu |
Free text
Release 11 — day 42, dose 3
Symptoms: Chest congestion, cough, body aches
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 | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release