6UL-23108-59913
3 vaccinations
2 coded responses
11 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 926 / CA
- Registered
- 2021-12-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Dose 1 — Moderna
-
2021-05-08
Dose 2 — Moderna
-
2021-12-17
Registered in v-safe
-
2021-12-17
Dose 3 — Moderna
- 2021-12-17
-
2021-12-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-20
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion — Feeling: GoodFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
- 2021-12-24
- 2021-12-31
- 2022-01-14
-
2022-01-21
Survey response — day 35, dose 3MedDRA: COVID-19, Cough, Fatigue, Respiratory tract congestion — Feeling: FairFree text: Cough, congestion, fatigue (from Covid). Relatively mild.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-28
- 2022-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | No |
| 2 | 2021-05-08 | Moderna | No |
| 3 | 2021-12-17 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Stuffy nose
Release 11 — day 35, dose 3
Symptoms: Cough, congestion, fatigue (from Covid). Relatively mild.
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release