534-16996-91068
2 vaccinations
1 coded response
22 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 984 / WA
- Registered
- 2021-06-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-18
Registered in v-safe
-
2021-06-18
Dose 1 — Moderna
- 2021-06-18
- 2021-06-19
-
2021-06-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Nausea, VomitingAdult check-in
- 2021-06-21
- 2021-06-22
- 2021-06-23
- 2021-06-24
- 2021-06-25
- 2021-07-02
- 2021-07-09
- 2021-07-16
-
2021-07-19
Dose 2 — Moderna
-
2021-07-23
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Nausea, Pain, Pyrexia, Vomiting — Feeling: Good · Site: Pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, vomiting, nausea, chills, body aches, headaches, fatigue on 7/20/2021MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-24
- 2021-07-25
- 2021-07-26
- 2021-08-02
- 2021-08-09
- 2021-08-16
- 2021-08-23
- 2021-08-30
- 2021-10-18
- 2022-01-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-18 | Moderna | |
| 2 | 2021-07-19 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Fever, vomiting, nausea, chills, body aches, headaches, fatigue on 7/20/2021
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 | Chills | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Nausea | ✓ | · | ✓ |
| SRO | Pain | ✓ | · | ✓ |
| SRO | Pyrexia | ✓ | · | ✓ |
| SRO | Vomiting | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release