AE5-44548-91952
4 vaccinations
4 coded responses
42 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 940 / CA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
3SU-35903-85244
Child or adolescent in my care · Male · 2022-06-26
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
-
2021-04-23
Dose 2 — Moderna
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-02
- 2021-05-09
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-25
- 2021-10-22
-
2021-11-23
Dose 3 — Moderna
- 2021-12-07
- 2021-12-14
- 2021-12-21
-
2021-12-28
Survey response — day 35, dose 3MedDRA: Cough, Myalgia, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, muscle ache, congestion, cough (but COVID PCR test came back negative)MedDRA releases: 2024-11 · check-in free text available
- 2022-01-04
-
2022-02-22
Survey response — 3 months, dose 3MedDRA: Eye pruritus, Respiratory tract congestion — Feeling: PoorFree text: Congestion and itchy eyesMedDRA releases: 2024-11 · check-in free text available
-
2022-05-26
Survey response — 6 months, dose 3MedDRA: Decreased appetite, Diarrhoea, Fatigue, Malaise, Nausea, Pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Was sick in April, possibly a stomach virus? Nausea, diarrhea, lack of appetite, fatigue, aching all over, slight fever. Was negative for COVID with an at-home antigen kit during this time.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Dose 4 — Moderna
- 2022-10-31
- 2022-11-01
- 2022-11-04
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
-
2023-01-27
Survey response — 3 months, dose 4MedDRA: Cough, Oropharyngeal pain — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-10-26 | Moderna | No |
Free text
Release 10 — day 35, dose 3
Symptoms: Fever, muscle ache, congestion, cough (but COVID PCR test came back negative)
Release 11 — 3 months, dose 3
Symptoms: Congestion and itchy eyes
Release 11 — 6 months, dose 3
Symptoms: Was sick in April, possibly a stomach virus? Nausea, diarrhea, lack of appetite, fatigue, aching all over, slight fever. Was negative for COVID with an at-home antigen kit during this time.
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 | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release