79H-20277-93145
5 vaccinations
1 coded response
24 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 945 / CA
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
6ZY-49590-55944
Child or adolescent in my care · Female · 2022-06-21
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 2 — Moderna
-
2021-02-19
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · Site: PainFree text: A little woozinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-02-26
- 2021-03-05
- 2021-03-14
- 2021-03-19
- 2021-03-26
- 2021-04-04
- 2021-05-23
- 2021-08-20
-
2021-10-25
Dose 3 — Moderna
- 2022-02-21
-
2022-06-02
Dose 4 — Moderna
- 2022-06-21
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-07-20
-
2022-09-16
Dose 5 — Moderna
- 2022-12-01
- 2022-12-18
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-06-02 | Moderna | No |
| 5 | 2022-09-16 | Moderna | No |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): A little wooziness
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 |
|---|---|---|---|---|
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release