5BT-45813-66674
3 vaccinations
3 coded responses
39 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 625 / IL
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
HPK-50330-31868
Child or adolescent in my care · Male · 2021-11-06
9FP-32127-62916
Child or adolescent in my care · Female · 2021-11-06
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
-
2021-02-26
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal painAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-05
Health check-in — day 7, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-14
- 2021-03-19
-
2021-04-06
Dose 2 — Moderna
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-10
- 2021-04-11
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-04-13
Health check-in — day 7, dose 2Feeling: Good · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-20
- 2021-04-27
-
2021-05-04
Survey response — day 28, dose 2MedDRA: Headache, Oropharyngeal pain — Feeling: GoodFree text: Sore throat and headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Survey response — day 35, dose 2MedDRA: Cough, Nasal congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Runny nose, coughing, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-07-06
- 2021-10-05
-
2021-11-08
Dose 3 — Moderna
-
2021-11-08
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2022-02-07
-
2022-05-09
Survey response — 6 months, dose 3MedDRA: Delivery — Feeling: GoodFree text: Given birthMedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
Free text
Release 8 — day 28, dose 2
Symptoms: Sore throat and headaches
Release 8 — day 35, dose 2
Symptoms: Runny nose, coughing, congestion
Release 11 — 6 months, dose 3
Symptoms: Given birth
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 | Delivery | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release