FKY-35446-52263
3 vaccinations
2 coded responses
14 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 982 / WA
- Registered
- 2021-11-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
XP4-29097-58331
Child or adolescent in my care · Female · 2021-11-30
99B-25043-62366
Child or adolescent in my care · Male · 2022-06-20
Timeline
-
2021-03-27
Dose 1 — Moderna
-
2021-04-22
Dose 2 — Moderna
-
2021-11-30
Registered in v-safe
-
2021-12-02
Dose 3 — Moderna
-
2021-12-02
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-08
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
-
2022-01-13
Survey response — day 42, dose 3MedDRA: Headache, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headache and congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-03-03
-
2022-06-04
Survey response — 6 months, dose 3MedDRA: Chills, Cough, Discharge, Hot flush, Malaise, Mobility decreased, Myalgia, Nasopharyngitis, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Really bad cold (congestion, drainage, cough, muscle aches, chills and hot flashes) w/temp up to 101°. Home tested negative for Covid 3x. Sick in bed for a full week, felt a bit better for a week, third week starting to feel better w/ lingering cougMedDRA releases: 2024-11 · check-in free text available
- 2022-12-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | No |
| 2 | 2021-04-22 | Moderna | No |
| 3 | 2021-12-02 | Moderna | No |
Free text
Release 10 — day 42, dose 3
Symptoms: Headache and congestion
Release 11 — 6 months, dose 3
Symptoms: Really bad cold (congestion, drainage, cough, muscle aches, chills and hot flashes) w/temp up to 101°. Home tested negative for Covid 3x. Sick in bed for a full week, felt a bit better for a week, third week starting to feel better w/ lingering coug cut off by CDC
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 | Discharge | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hot flush | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release