DGW-19743-74242
2 vaccinations
1 coded response
5 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 112 / NY
- Registered
- 2021-10-26
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-10-26
Registered in v-safe
-
2021-10-26
Dose 1 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to work or attend schoolAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Muscle or body aches · Be unable to work or attend schoolAdult check-in
- 2021-11-04
-
2021-11-16
Survey response — day 21, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: AllergiesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Dose 2 — Moderna
- 2021-11-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-26 | Moderna | No |
| 2 | 2021-11-23 | Moderna | No |
Free text
Release 10 — day 21, dose 1
Symptoms: Allergies
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 | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release