BSZ-18284-12456
4 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 194 / PA
- Registered
- 2021-10-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
28Y-21923-91789
Child or adolescent in my care · Male · 2021-11-08
F4Y-14120-19695
Child or adolescent in my care · Male · 2022-06-23
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-02-25
Dose 2 — Moderna
-
2021-10-25
Registered in v-safe
-
2021-10-25
Dose 3 — Moderna
- 2021-11-08
- 2021-11-15
- 2021-11-29
- 2021-12-07
- 2022-01-28
-
2022-09-20
Dose 4 — Moderna
-
2022-09-20
Survey response — day 0, dose 4MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: More sweating than normal during exerciseMedDRA releases: 2024-11 · check-in free text available
-
2022-09-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2022-12-20
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-12-20
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | No |
| 2 | 2021-02-25 | Moderna | No |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-09-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 0, dose 4
Systemic reaction (other): More sweating than normal during exercise
Release 12 — 3 months, dose 4
Symptoms: Covid
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 | COVID-19 | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release