4QX-25725-53111
2 vaccinations
1 coded response
18 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 136 / NY
- Registered
- 2021-10-06
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- N/A
Timeline
-
2021-10-06
Registered in v-safe
-
2021-10-06
Dose 1 — Moderna
-
2021-10-06
Survey response — day 0, dose 1MedDRA: Back pain — Feeling: Good · Abdominal painFree text: Back painMedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
- 2021-10-08
- 2021-10-10
- 2021-10-11
- 2021-10-13
- 2021-10-20
- 2021-10-29
-
2021-11-03
Dose 2 — Moderna
- 2021-11-03
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-12
- 2021-11-17
- 2021-11-26
- 2021-12-01
- 2021-12-08
- 2021-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-06 | Moderna | No |
| 2 | 2021-11-03 | Moderna | No |
Free text
Release 10 — day 0, dose 1
Systemic reaction (other): Back pain
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 | Back pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release