3RG-78061-59264
4 vaccinations
1 coded response
27 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 941 / CA
- Registered
- 2021-06-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Dose 1 — Moderna
-
2021-05-08
Dose 2 — Moderna
-
2021-06-20
Registered in v-safe
- 2021-06-20
- 2021-08-09
- 2021-11-06
-
2021-11-10
Dose 3 — Pfizer-BioNTech
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-24
- 2021-12-02
- 2021-12-08
- 2021-12-15
- 2021-12-23
- 2022-02-09
- 2022-05-11
-
2022-09-20
Dose 4 — Moderna
-
2022-09-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-10-04
- 2022-10-11
-
2022-10-18
Survey response — day 28, dose 4MedDRA: Headache, Oropharyngeal pain — Feeling: FairFree text: Headache. Sore throat.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-11-01
- 2022-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | No |
| 2 | 2021-05-08 | Moderna | No |
| 3 | 2021-11-10 | Pfizer-BioNTech | No |
| 4 | 2022-09-20 | Moderna | No |
Free text
Release 12 — day 28, dose 4
Symptoms: Headache. Sore throat.
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 | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release