B6U-27442-42589
4 vaccinations
4 coded responses
54 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 834 / ID
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QRL-33795-89005
Child or adolescent in my care · Female · 2022-06-28
NU6-23179-22843
Child or adolescent in my care · Male · 2022-06-28
DTF-29784-29492
Adult relative or friend · Male · 2022-09-13
N9W-70013-74637
Child or adolescent in my care · Female · 2022-10-27
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-07
- 2021-01-14
- 2021-01-21
-
2021-01-28
Dose 2 — Moderna
- 2021-01-28
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Muscle or body achesAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-04-29
- 2021-07-29
-
2021-10-26
Dose 3 — Moderna
- 2021-10-26
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-26
-
2022-09-13
Dose 4 — Moderna
- 2022-09-13
-
2022-09-14
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen and painful axilla on affected sideMedDRA releases: 2024-11 · check-in free text available
-
2022-09-15
Survey response — days 1–6 daily, dose 4MedDRA: Hot flush — Feeling: Fair · Site: PainFree text: Hot flashesMedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
-
2022-10-25
Survey response — day 42, dose 4MedDRA: Chills, Diarrhoea, Pain, Pyrexia, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever, chills, body aches, diarrhea, vomitingMedDRA releases: 2024-11 · check-in free text available
-
2022-12-13
Survey response — 3 months, dose 4MedDRA: Discomfort, Rhinorrhoea, Unevaluable event — Feeling: GoodFree text: Sissy pressure, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-09-13 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen and painful axilla on affected side
Systemic reaction (other): Hot flashes
Release 12 — day 42, dose 4
Symptoms: Fever, chills, body aches, diarrhea, vomiting
Release 12 — 3 months, dose 4
Symptoms: Sissy pressure, runny nose
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 | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release