FM6-11093-00769
5 vaccinations
1 coded response
23 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 905 / CA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-31
Dose 2 — Moderna
-
2021-04-02
Registered in v-safe
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-07
- 2021-04-28
- 2021-05-07
- 2021-05-12
- 2021-07-02
-
2021-12-10
Dose 3 — ModernaCo-administered: Flu
- 2022-03-31
- 2022-06-11
-
2022-07-15
Dose 4 — Moderna
-
2022-09-23
Dose 5 — Moderna
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-14
-
2022-10-21
Survey response — day 28, dose 5MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have a coldMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-04
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-12-10 | Moderna | Flu |
| 4 | 2022-07-15 | Moderna | No |
| 5 | 2022-09-23 | Moderna | No |
Free text
Release 12 — day 28, dose 5
Symptoms: I have a cold
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 | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release