54R-16826-71328
3 vaccinations
3 coded responses
24 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 911 / CA
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-16
- 2021-01-23
-
2021-01-30
Dose 2 — Moderna
- 2021-01-30
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · HeadacheFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-08
- 2021-02-13
- 2021-02-20
- 2021-03-01
- 2021-03-06
- 2021-03-13
- 2021-05-01
- 2021-08-02
-
2021-11-05
Dose 3 — Moderna
-
2021-11-14
Survey response — day 7, dose 3MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal painFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-11-30
Survey response — day 21, dose 3MedDRA: Cough, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to work or attend schoolFree text: Cough, sore throat, body achesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-19
- 2022-02-04
- 2022-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 10 — day 7, dose 3
Systemic reaction (other): Dizziness
Release 10 — day 21, dose 3
Symptoms: Cough, sore throat, body aches
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 | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release