KCU-77964-37841
2 vaccinations
2 coded responses
25 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 852 / AZ
- Registered
- 2021-05-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-23
Registered in v-safe
-
2021-05-23
Dose 1 — Moderna
- 2021-05-23
-
2021-05-24
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-05-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-05-30
- 2021-06-06
- 2021-06-15
- 2021-06-20
-
2021-06-25
Dose 2 — Moderna
- 2021-06-25
-
2021-06-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-27
Survey response — days 1–6 daily, dose 2MedDRA: Autoimmune thyroiditis, Pre-existing disease — Feeling: Good · Site: Swelling · Fever · HeadacheFree text: Hoshimoto diseaseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-28
- 2021-06-30
- 2021-07-01
- 2021-07-02
- 2021-07-09
-
2021-07-16
Survey response — day 21, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-23
- 2021-07-30
- 2021-08-06
- 2021-09-26
- 2021-12-24
- 2022-06-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-23 | Moderna | |
| 2 | 2021-06-25 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Hoshimoto disease
Release 9 — day 21, dose 2
Symptoms: Pregnancy
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 | Pregnancy | ✓ | · | ✓ |
| SRO | Autoimmune thyroiditis | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release