7TR-12092-18443
2 vaccinations
1 coded response
9 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 362 / AL
- Registered
- 2021-10-23
- Relationship
- Child or adolescent in my care
- Guardian
- JJY-16627-86196
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-10-23
Registered in v-safe
-
2021-10-23
Dose 1 — Moderna
- 2021-10-23
- 2021-10-24
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-11-06
-
2021-11-16
Survey response — day 21, dose 1, dependentMedDRA: Dyspnoea, Pyrexia, Sinus disorder — Feeling: Poor · Be unable to work or attend schoolFree text: Fever trouble breathing. Sinus issuesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Dose 2 — Moderna
- 2021-11-27
- 2021-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-23 | Moderna | No |
| 2 | 2021-11-24 | Moderna | No |
Free text
Release 10 — day 21, dose 1, dependent
Symptoms: Fever trouble breathing. Sinus issues
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 | Dyspnoea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release