AVS-23527-59033
3 vaccinations
2 coded responses
17 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 770 / TX
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
634-72493-28530
Child or adolescent in my care · Male · 2022-06-29
TCJ-18731-12086
Child or adolescent in my care · Female · 2022-06-29
Timeline
-
2020-12-24
Dose 1 — Moderna
-
2021-01-04
Registered in v-safe
- 2021-01-04
- 2021-01-07
- 2021-01-14
-
2021-01-21
Dose 2 — Moderna
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-13
- 2021-02-18
-
2021-02-25
Survey response — day 35, dose 2MedDRA: Sinusitis — Feeling: GoodFree text: Sinus infection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-04-22
- 2021-07-22
-
2021-08-20
Dose 3 — Moderna
-
2022-02-20
Survey response — 6 months, dose 3MedDRA: Cough, Fatigue, Lethargy — Feeling: GoodFree text: In December I had a cough, lethargy and fatigue. I did not get testedMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-08-20 | Moderna | No |
Free text
Release 4 — day 35, dose 2
Symptoms: Sinus infection.
Release 11 — 6 months, dose 3
Symptoms: In December I had a cough, lethargy and fatigue. I did not get tested
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 | Fatigue | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release