65W-79890-42814
4 vaccinations
1 coded response
9 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 021 / MA
- Registered
- 2021-12-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
AJ6-17543-12589
Child or adolescent in my care · Male · 2023-03-17
SB9-21889-22402
Child or adolescent in my care · Female · 2023-03-17
Timeline
-
2021-03-25
Dose 1 — Moderna
-
2021-04-24
Dose 2 — Moderna
-
2021-10-31
Dose 3 — Moderna
-
2021-12-12
Registered in v-safe
- 2021-12-14
- 2022-01-30
- 2022-05-03
-
2022-09-08
Dose 4 — Moderna
- 2022-10-05
- 2022-10-06
- 2022-10-13
-
2022-10-20
Survey response — day 42, dose 4MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-12-10
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | No |
| 2 | 2021-04-24 | Moderna | No |
| 3 | 2021-10-31 | Moderna | No |
| 4 | 2022-09-08 | Moderna | No |
Free text
Release 12 — day 42, dose 4
Symptoms: Sore throat
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 | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release