FUW-31969-30102
4 vaccinations
3 coded responses
33 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 222 / VA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Registered dependents
2BF-40919-91396
Child or adolescent in my care · Female · 2022-10-09
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-04
- 2021-04-10
- 2021-04-16
-
2021-04-23
Dose 2 — Moderna
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
-
2021-05-28
Survey response — day 35, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Stomach pain, vomiting and diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
- 2021-07-23
- 2021-10-22
-
2021-11-26
Dose 3 — ModernaCo-administered: Flu
-
2021-11-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-30
-
2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Muscle or body achesAdult check-in
-
2021-12-03
Survey response — day 7, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cold like symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
-
2021-12-24
Survey response — day 28, dose 3MedDRA: Chills, Fatigue, Oropharyngeal pain, Productive cough, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat, chills and fever, phlegm, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-29
-
2022-09-28
Dose 4 — ModernaCo-administered: Flu
- 2022-10-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-26 | Moderna | Flu |
| 4 | 2022-09-28 | Moderna | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 35, dose 2
Symptoms: Stomach pain, vomiting and diarrhea
Release 10 — day 7, dose 3
Systemic reaction (other): Cold like symptoms
Release 10 — day 28, dose 3
Symptoms: Sore throat, chills and fever, phlegm, fatigue
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release