62W-20176-61411
3 vaccinations
2 coded responses
25 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 327 / FL
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-16
Dose 1 — Moderna
-
2021-04-18
Registered in v-safe
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
-
2021-05-14
Dose 2 — Moderna
- 2021-05-14
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-05-17
-
2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-05-19
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-20
- 2021-06-25
- 2021-08-15
- 2021-11-12
-
2022-01-12
Dose 3 — Moderna
- 2022-05-16
-
2022-07-13
Survey response — 6 months, dose 3MedDRA: Influenza — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: FluMedDRA releases: 2024-11 · check-in free text available
- 2023-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-14 | Moderna | |
| 3 | 2022-01-12 | Moderna | No |
Free text
Release 12 — 6 months, dose 3
Symptoms: Flu
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 | Influenza | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release