KCZ-78751-08715
4 vaccinations
4 coded responses
39 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 537 / WI
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
SZJ-10817-74701
Child or adolescent in my care · Female · 2022-07-01
SWT-80986-25679
Child or adolescent in my care · Female · 2022-11-08
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
- 2021-03-25
- 2021-03-26
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-01
- 2021-04-08
-
2021-04-17
Survey response — day 21, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
-
2021-05-06
Survey response — day 14, dose 2MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Allergy symptoms (runny nose, sore throat)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-10-21
-
2021-11-17
Dose 3 — Moderna
- 2021-11-17
-
2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-23
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-15
- 2021-12-24
-
2021-12-31
Survey response — day 42, dose 3MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, runny nose, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-02-16
-
2022-05-18
Survey response — 6 months, dose 3MedDRA: Delivery — Feeling: GoodFree text: Had a baby 4/2022MedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Dose 4 — ModernaCo-administered: Flu
- 2022-11-08
- 2022-11-10
- 2022-11-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-10-06 | Moderna | Flu |
Free text
Release 7 — day 21, dose 1
Symptoms: Runny nose
Release 8 — day 14, dose 2
Symptoms: Allergy symptoms (runny nose, sore throat)
Release 10 — day 42, dose 3
Symptoms: Sore throat, runny nose, congestion
Release 11 — 6 months, dose 3
Symptoms: Had a baby 4/2022
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 | Delivery | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release