577-11818-92124

3 vaccinations 1 coded response 11 check-ins 1 free-text entry 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 145 / NY
Registered: 2021-11-11

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

WMS-18317-44585 Child or adolescent in my care · Female · 2021-11-11

9Z8-26830-54014 Child or adolescent in my care · Male · 2021-11-13

U72-23267-42322 Child or adolescent in my care · Male · 2022-07-30

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-23
Dose 1 — Moderna
2021-01-20
Dose 2 — Moderna
2021-11-09
Dose 3 — Moderna
2021-11-11
Registered in v-safe
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-12
Survey response — 6 months, dose 3
MedDRA: Fatigue, Paranasal sinus discomfort, Rhinorrhoea — Feeling: Good

Free text: Fatigue + sinus irritation and rubny nose

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Moderna	No
2	2021-01-20	Moderna	No
3	2021-11-09	Moderna	No

Free text

Release 11 — 6 months, dose 3

2022-05-12

Symptoms: Fatigue + sinus irritation and rubny 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
SD	Fatigue	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Rhinorrhoea	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release