8YE-52111-15723
4 vaccinations
3 coded responses
22 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 212 / MD
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
B6R-23367-73250
Child or adolescent in my care · Male · 2022-07-14
JDF-92829-71355
Child or adolescent in my care · Male · 2022-08-02
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-01-30
Dose 2 — Moderna
-
2021-02-05
Registered in v-safe
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-05-01
- 2021-07-31
-
2021-11-24
Dose 3 — Moderna
- 2022-01-30
-
2022-05-25
Survey response — 6 months, dose 3MedDRA: Gastroenteritis viral, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Mild cold Stomach bugMedDRA releases: 2024-11 · check-in free text available
-
2022-09-15
Dose 4 — ModernaCo-administered: Flu
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
-
2022-10-22
Survey response — day 35, dose 4MedDRA: Pain — Feeling: FairFree text: Body achesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
-
2022-12-17
Survey response — 3 months, dose 4MedDRA: Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: GoodFree text: Sore throat, runny nose, body achesMedDRA releases: 2024-11 · check-in free text available
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-11-24 | Moderna | No |
| 4 | 2022-09-15 | Moderna | Flu |
Free text
Release 11 — 6 months, dose 3
Symptoms: Mild cold Stomach bug
Release 12 — day 35, dose 4
Symptoms: Body aches
Release 12 — 3 months, dose 4
Symptoms: Sore throat, runny nose, body aches
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 | Gastroenteritis viral | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release