63E-19301-30055
4 vaccinations
6 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 980 / WA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
JMP-29072-93164
Child or adolescent in my care · Male · 2022-12-13
DW9-27849-80905
Child or adolescent in my care · Female · 2022-12-13
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-23
Registered in v-safe
- 2021-03-23
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Post nasal dripMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-12
- 2021-06-28
- 2021-09-27
-
2021-11-17
Dose 3 — Moderna
-
2022-03-29
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: FairFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-12-09
Dose 4 — ModernaCo-administered: Flu
-
2022-12-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-12-14
- 2022-12-15
- 2022-12-16
-
2022-12-23
Survey response — day 14, dose 4MedDRA: COVID-19, Headache, Pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid. Feverish. Achey. Headache. CongestedMedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Survey response — day 21, dose 4MedDRA: Fatigue, Pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Congestion. Fatigue. AchesMedDRA releases: 2024-11 · check-in free text available
- 2023-01-08
-
2023-01-13
Survey response — day 35, dose 4MedDRA: Influenza — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-01-20
Survey response — day 42, dose 4MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-12-09 | Moderna | Flu |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Post nasal drip
Release 11 — 12 months, dose 2
Symptoms: Pregnancy
Release 12 — day 14, dose 4
Symptoms: Covid. Feverish. Achey. Headache. Congested
Release 12 — day 21, dose 4
Symptoms: Congestion. Fatigue. 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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release