FQQ-22442-61304
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 770 / TX
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
7N3-31544-52262
Child or adolescent in my care · Male · 2022-06-29
LT6-29851-85494
Child or adolescent in my care · Female · 2022-06-29
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-18
- 2021-02-25
-
2021-03-02
Dose 2 — Moderna
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Chest discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-07
- 2021-03-09
-
2021-03-16
Survey response — day 14, dose 2MedDRA: Respiration abnormal — Feeling: GoodFree text: Occasionally feels like cold air is in chest/throat when inhalingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-31
- 2021-04-06
- 2021-04-13
- 2021-06-01
- 2021-09-01
- 2022-03-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Chest discomfort
Release 5 — day 14, dose 2
Symptoms: Occasionally feels like cold air is in chest/throat when inhaling
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 | Respiration abnormal | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release