4FS-12588-74993
1 vaccination
1 coded response
4 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 915 / CA
- Registered
- 2021-07-04
- Relationship
- Adult relative or friend
- Guardian
- ZZU-51661-60540
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-01
Dose 1 — Moderna
-
2021-07-04
Registered in v-safe
- 2021-07-04
- 2021-07-05
- 2021-07-06
-
2021-07-08
Survey response — day 7, dose 1, dependentMedDRA: Unevaluable event — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do their normal daily activitiesFree text: I cant take this I wish I never got itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-01 | Moderna | No |
Free text
Release 9 — day 7, dose 1, dependent
Systemic reaction (other): I cant take this I wish I never got it
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 | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release