4SX-30928-20733
3 vaccinations
2 coded responses
16 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 802 / CO
- Registered
- 2021-11-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-12
Dose 1 — Moderna
-
2021-05-10
Dose 2 — Moderna
-
2021-11-20
Registered in v-safe
-
2021-11-20
Dose 3 — ModernaCo-administered: Flu
-
2021-11-20
Survey response — day 0, dose 3MedDRA: Pregnancy — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal painFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Nausea, Vomiting, Diarrhea, Abdominal painAdult check-in
-
2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, DiarrheaAdult check-in
- 2021-11-23
- 2021-11-24
- 2021-11-25
-
2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Fatigue or tirednessFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-02-19
- 2022-05-21
- 2022-11-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna | No |
| 2 | 2021-05-10 | Moderna | No |
| 3 | 2021-11-20 | Moderna | Flu |
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Pregnancy
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Runny nose
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 | Pregnancy | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release