A9Z-37394-23663
4 vaccinations
10 coded responses
52 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 601 / IL
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FHX-12826-48553
Child or adolescent in my care · Female · 2022-06-30
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
-
2021-03-03
Survey response — day 0, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-31
Dose 2 — Moderna
-
2021-03-31
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Breast feeding — Feeling: Good · Site: PainFree text: BreastfeedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
-
2021-12-18
Dose 3 — Moderna
-
2021-12-18
Survey response — day 0, dose 3MedDRA: Thirst — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: ThirstMedDRA releases: 2024-11 · check-in free text available
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Thirst — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: ThirstyMedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
- 2021-12-21
- 2021-12-22
-
2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Cough, congestion, sneezing, running noseMedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Runny nose, congestion, coughMedDRA releases: 2024-11 · check-in free text available
-
2021-12-25
Survey response — day 7, dose 3MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: Runny nose, cough, sore throat, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-01
Survey response — day 14, dose 3MedDRA: COVID-19, Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid positive. Fever sore throat congestion coughMedDRA releases: 2024-11 · check-in free text available
- 2022-01-08
- 2022-01-15
- 2022-01-22
- 2022-01-29
-
2022-03-19
Survey response — 3 months, dose 3MedDRA: Painful respiration — Feeling: GoodFree text: Random painful breathing episodesMedDRA releases: 2024-11 · check-in free text available
- 2022-06-19
-
2022-11-12
Dose 4 — ModernaCo-administered: Flu
-
2022-11-13
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-18
-
2022-11-19
Survey response — day 7, dose 4MedDRA: Influenza like illness — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Flu like symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-11-26
- 2022-12-03
- 2022-12-10
- 2022-12-17
- 2023-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-12-18 | Moderna | No |
| 4 | 2022-11-12 | Moderna | Flu |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Metallic taste in mouth
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Breastfeeding
Release 10 — day 0, dose 3
Systemic reaction (other): Thirst
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Thirsty
Systemic reaction (other): Cough, congestion, sneezing, running nose
Systemic reaction (other): Runny nose, congestion, cough
Release 10 — day 7, dose 3
Systemic reaction (other): Runny nose, cough, sore throat, congestion
Release 10 — day 14, dose 3
Symptoms: Covid positive. Fever sore throat congestion cough
Release 11 — 3 months, dose 3
Symptoms: Random painful breathing episodes
Release 12 — day 7, dose 4
Systemic reaction (other): Flu like symptoms
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Painful respiration | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
| SRO | Thirst | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release