CZ7-26043-84745
4 vaccinations
2 coded responses
19 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 323 / FL
- Registered
- 2021-11-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
8AH-17590-36483
Child or adolescent in my care · Female · 2022-06-24
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-04-08
Dose 2 — Moderna
-
2021-11-08
Dose 3 — Moderna
-
2021-11-11
Registered in v-safe
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2021-12-13
Survey response — day 35, dose 3MedDRA: Nasal congestion, Pre-existing disease — Feeling: FairFree text: Allergies. Stuffy noseMedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Survey response — day 42, dose 3MedDRA: Cough, Rhinorrhoea — Feeling: GoodFree text: Runny nose and coughMedDRA releases: 2024-11 · check-in free text available
- 2022-02-07
- 2022-05-09
-
2022-09-24
Dose 4 — ModernaCo-administered: Flu
- 2022-10-14
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-12-24
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | No |
| 2 | 2021-04-08 | Moderna | No |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-09-24 | Moderna | Flu |
Free text
Release 10 — day 35, dose 3
Symptoms: Allergies. Stuffy nose
Release 10 — day 42, dose 3
Symptoms: Runny nose and cough
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 | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release