CBV-13537-42626
4 vaccinations
3 coded responses
35 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 954 / CA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
BEE-31748-13267
Child or adolescent in my care · Male · 2022-06-21
NRX-22824-67698
Child or adolescent in my care · Female · 2022-06-21
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
-
2021-01-15
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-17
-
2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-31
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-12
- 2021-03-19
- 2021-03-27
- 2021-05-14
- 2021-08-13
-
2021-10-27
Dose 3 — Moderna
-
2022-02-12
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-11-15
Dose 4 — Moderna
-
2022-11-15
Survey response — day 0, dose 4MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Sore throat/stuffy noseMedDRA releases: 2024-11 · check-in free text available
-
2022-11-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-11-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-18
- 2022-11-19
- 2022-11-20
-
2022-11-21
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-11-22
- 2022-11-29
- 2022-12-06
- 2022-12-13
- 2022-12-22
- 2022-12-27
-
2023-02-14
Survey response — 3 months, dose 4MedDRA: Laryngitis, Nasopharyngitis, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-11-15 | Moderna | No |
Free text
Release 11 — 12 months, dose 2
Symptoms: Pregnancy
Release 12 — day 0, dose 4
Systemic reaction (other): Sore throat/stuffy 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 | Laryngitis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release