D69-11066-61323
2 vaccinations
2 coded responses
7 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 919 / CA
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-22
Registered in v-safe
-
2021-03-25
Survey response — day 14, dose 1MedDRA: Rash — Feeling: GoodFree text: Arm rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
-
2021-04-06
Dose 2 — Moderna
- 2021-04-13
- 2021-04-22
-
2021-04-27
Survey response — day 21, dose 2MedDRA: Chills, Fatigue, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Chills , sore throat , body aches , fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Free text
Release 6 — day 14, dose 1
Symptoms: Arm rash
Release 8 — day 21, dose 2
Symptoms: Chills , sore throat , body aches , fatigue
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 | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release