97G-22228-96052
4 vaccinations
7 coded responses
41 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 920 / CA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
PM2-15160-55960
Child or adolescent in my care · Male · 2022-06-25
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-20
-
2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-23
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
-
2021-03-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Diarrhea, Abdominal painAdult check-in
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Headache, Fatigue or tirednessFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Good · Headache, Fatigue or tiredness, Nausea, DiarrheaFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Good · Fatigue or tirednessFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-26
- 2021-04-02
- 2021-04-14
- 2021-06-02
- 2021-09-03
-
2021-11-17
Dose 3 — ModernaCo-administered: Flu
- 2021-11-17
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Sorr throatMedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: CoughingMedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fever · HeadacheFree text: Sore throat, coughMedDRA releases: 2024-11 · check-in free text available
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-02-16
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2022-05-18
Survey response — 6 months, dose 3MedDRA: Pregnancy — Feeling: FairFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-09-03
Dose 4 — Moderna
- 2022-10-08
- 2022-10-15
- 2022-12-03
- 2023-03-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-11-17 | Moderna | Flu |
| 4 | 2022-09-03 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sorr throat
Systemic reaction (other): Coughing
Systemic reaction (other): Sore throat, cough
Release 11 — 6 months, dose 3
Symptoms: Pregnancy
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 | Pregnancy | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release