EYL-12195-65193
3 vaccinations
2 coded responses
24 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 462 / IN
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
N8V-14167-98996
Child or adolescent in my care · Male · 2022-08-18
5JQ-81500-88572
Child or adolescent in my care · Female · 2022-09-29
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
-
2021-01-06
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-08
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-20
- 2021-01-27
-
2021-02-01
Dose 2 — Moderna
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-17
- 2021-05-05
- 2021-08-02
-
2021-11-19
Dose 3 — Moderna
-
2022-02-01
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Pregnancy -35 weeksMedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
-
2022-11-19
Survey response — 12 months, dose 3MedDRA: COVID-19, Nasopharyngitis — Feeling: GoodFree text: Covid + 10/4/22; currently minor cold symptoms resolving.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Free text
Release 11 — 12 months, dose 2
Symptoms: Pregnancy -35 weeks
Release 12 — 12 months, dose 3
Symptoms: Covid + 10/4/22; currently minor cold symptoms resolving.
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 | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release