CVD-16537-11534
3 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 857 / AZ
- Registered
- 2021-11-29
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Moderna
-
2021-04-23
Dose 2 — Moderna
-
2021-11-29
Registered in v-safe
-
2021-11-29
Dose 3 — Moderna
-
2021-11-29
Health check-in — day 0, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, NauseaAdult check-in
-
2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend schoolAdult check-in
-
2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Fever · Headache, Diarrhea · Be unable to work or attend schoolAdult check-in
- 2021-12-02
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-13
- 2021-12-22
- 2021-12-27
- 2022-01-03
- 2022-01-12
-
2022-02-28
Survey response — 3 months, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen glad under armpitMedDRA releases: 2024-11 · check-in free text available
-
2022-06-01
Survey response — 6 months, dose 3MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-11-29
Survey response — 12 months, dose 3MedDRA: Thyroid disorder — Feeling: GoodFree text: Thyroid issuesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | No |
| 2 | 2021-04-23 | Moderna | No |
| 3 | 2021-11-29 | Moderna | No |
Free text
Release 11 — 3 months, dose 3
Symptoms: Swollen glad under armpit
Release 11 — 6 months, dose 3
Symptoms: Miscarriage
Release 12 — 12 months, dose 3
Symptoms: Thyroid issues
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 | Abortion spontaneous | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release