9EK-20536-88128
4 vaccinations
2 coded responses
34 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 688 / NE
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FAU-63491-85660
Child or adolescent in my care · Female · 2022-06-30
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-23
- 2020-12-27
- 2020-12-29
- 2020-12-30
- 2021-01-06
- 2021-01-13
-
2021-01-20
Dose 2 — Moderna
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-04-21
- 2021-07-21
-
2021-12-28
Dose 3 — Moderna
-
2022-01-20
Survey response — 12 months, dose 2MedDRA: COVID-19, Unevaluable event — Feeling: GoodFree text: Had covid, occasional SOAMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Dose 4 — Moderna
-
2022-11-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
-
2022-11-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-25
- 2022-12-02
-
2022-12-11
Survey response — day 28, dose 4MedDRA: Bronchitis — Feeling: FairFree text: BronchitisMedDRA releases: 2024-11 · check-in free text available
- 2022-12-16
- 2022-12-23
- 2023-02-10
- 2023-05-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-12-28 | Moderna | No |
| 4 | 2022-11-11 | Moderna | No |
Free text
Release 10 — 12 months, dose 2
Symptoms: Had covid, occasional SOA
Release 12 — day 28, dose 4
Symptoms: Bronchitis
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 | Bronchitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release