3XM-29578-91275
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 030 / NH
- Registered
- 2021-06-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-14
Dose 1 — Moderna
-
2021-06-11
Registered in v-safe
-
2021-06-11
Dose 2 — Moderna
-
2021-06-11
Survey response — day 0, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Fatigue might not be from the shot thoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-06-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, NauseaAdult check-in
- 2021-06-16
- 2021-06-17
- 2021-06-20
- 2021-06-25
- 2021-07-02
- 2021-07-09
- 2021-07-16
- 2021-07-25
- 2021-09-10
-
2021-12-10
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: A coldMedDRA releases: 2024-11 · check-in free text available
-
2022-06-13
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: ColdsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-14 | Moderna | |
| 2 | 2021-06-11 | Moderna |
Free text
Release 9 — day 0, dose 2
Systemic reaction (other): Fatigue might not be from the shot though
Release 10 — 6 months, dose 2
Symptoms: A cold
Release 12 — 12 months, dose 2
Symptoms: Colds
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 | Nasopharyngitis | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release