BBH-18547-55481
4 vaccinations
3 coded responses
22 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
DD6-13535-38524
Child or adolescent in my care · Female · 2022-09-16
Timeline
-
2021-03-26
Dose 1 — Moderna
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 2 — Moderna
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-25
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-10-22
-
2021-12-16
Dose 3 — Moderna
-
2022-04-27
Survey response — 12 months, dose 2MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2022-04-27
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-05-02
- 2022-05-05
-
2022-09-14
Dose 4 — Moderna
-
2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
-
2022-09-19
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Fair · Site: SwellingMedDRA releases: 2024-11
-
2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Fair · Muscle or body achesMedDRA releases: 2024-11
- 2022-09-21
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
| 4 | 2022-09-14 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
None.
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 | Unevaluable event | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release