JZ7-29190-57031
3 vaccinations
2 coded responses
20 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 223 / VA
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
HMF-24330-43770
Child or adolescent in my care · Male · 2022-06-22
Timeline
-
2021-03-27
Dose 1 — Moderna
-
2021-04-24
Dose 2 — Moderna
-
2021-04-26
Registered in v-safe
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-27
- 2021-04-28
- 2021-05-10
- 2021-05-22
- 2021-06-07
- 2021-07-26
-
2022-02-11
Dose 3 — Moderna
-
2022-02-11
Survey response — day 0, dose 3MedDRA: Pregnancy — Feeling: Good · Site: PainFree text: PregnantMedDRA releases: 2024-11 · check-in free text available
-
2022-02-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-02-14
- 2022-02-15
- 2022-02-17
- 2022-02-20
- 2022-02-27
- 2022-03-04
- 2022-03-11
- 2022-03-18
- 2022-03-25
-
2022-05-13
Survey response — 3 months, dose 3MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold symptoms: cough, congestion, sore throat but negative COVID tests.MedDRA releases: 2024-11 · check-in free text available
- 2023-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna | |
| 3 | 2022-02-11 | Moderna | No |
Free text
Release 11 — day 0, dose 3
Systemic reaction (other): Pregnant
Release 11 — 3 months, dose 3
Symptoms: Cold symptoms: cough, congestion, sore throat but negative COVID tests.
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 | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release