D6F-33285-83257
5 vaccinations
2 coded responses
14 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 900 / CA
- Registered
- 2022-09-10
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
7S6-11567-12946
Child or adolescent in my care · Male · 2022-09-10
NLB-70137-59461
Child or adolescent in my care · Male · 2022-12-09
Timeline
-
2021-03-25
Dose 1 — Moderna
-
2021-04-20
Dose 2 — Moderna
-
2021-11-11
Dose 3 — Pfizer-BioNTech
-
2022-04-14
Dose 4 — Moderna
-
2022-09-10
Registered in v-safe
-
2022-09-17
Dose 5 — ModernaCo-administered: Flu
- 2022-09-17
-
2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
-
2022-09-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-24
- 2022-10-01
- 2022-10-08
- 2022-10-15
-
2022-10-22
Survey response — day 35, dose 5MedDRA: Chills, SARS-CoV-2 test negative — Feeling: GoodFree text: Chills at night, thought I had Covid but tested negativeMedDRA releases: 2024-11 · check-in free text available
- 2022-10-29
- 2022-12-19
-
2023-03-18
Survey response — 6 months, dose 5MedDRA: Cough, Influenza, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-18
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | No |
| 2 | 2021-04-20 | Moderna | No |
| 3 | 2021-11-11 | Pfizer-BioNTech | No |
| 4 | 2022-04-14 | Moderna | No |
| 5 | 2022-09-17 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 35, dose 5
Symptoms: Chills at night, thought I had Covid but tested negative
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 | Cough | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release