8WQ-85801-51164
3 vaccinations
1 coded response
37 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 633 / MO
- Registered
- 2021-06-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
25W-24884-08257
Child or adolescent in my care · Female · 2022-06-29
Timeline
-
2021-06-23
Registered in v-safe
-
2021-06-23
Dose 1 — Moderna
- 2021-06-23
- 2021-06-24
- 2021-06-25
- 2021-06-26
- 2021-06-28
- 2021-06-29
- 2021-06-30
- 2021-07-07
- 2021-07-14
-
2021-07-21
Dose 2 — Moderna
- 2021-07-21
-
2021-07-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-07-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-07-24
- 2021-07-25
- 2021-07-26
- 2021-07-27
- 2021-07-30
- 2021-08-04
- 2021-08-11
- 2021-08-18
- 2021-08-25
- 2021-09-02
- 2021-10-20
- 2022-01-19
-
2022-06-28
Dose 3 — ModernaCo-administered: Tetanus
-
2022-06-29
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · HeadacheFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-05
- 2022-07-12
- 2022-07-19
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-09-27
- 2022-12-27
- 2023-06-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-23 | Moderna | No |
| 2 | 2021-07-21 | Moderna | No |
| 3 | 2022-06-28 | Moderna | Tetanus |
Free text
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness
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