ASJ-32561-13869
3 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 945 / CA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
RQX-12949-03955
Child or adolescent in my care · Male · 2022-07-08
9VB-14490-13911
Child or adolescent in my care · Male · 2022-07-08
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Moderna
-
2021-02-04
Survey response — day 0, dose 1MedDRA: Pruritus — Feeling: Good · Site: Pain · Joint pains, Rash, not including the immediate area around the injection siteFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-13
Dose 2 — Moderna
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-28
- 2021-04-03
- 2021-04-12
- 2021-04-17
- 2021-04-24
-
2021-06-12
Survey response — 3 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-11
-
2021-11-05
Dose 3 — Moderna
-
2022-03-15
Survey response — 12 months, dose 2MedDRA: Anosmia, COVID-19, Headache, Nasal congestion — Feeling: GoodFree text: I got COVID. Had anosmia, headache, stuffy nous.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Itching
Release 9 — 3 months, dose 2
Symptoms: Pregnancy
Release 11 — 12 months, dose 2
Symptoms: I got COVID. Had anosmia, headache, stuffy nous.
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 | Anosmia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release