KYJ-16331-21600

1 vaccination 1 coded response 1 check-in 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 218 / MD
Registered: 2021-06-28

Relationship: Adult relative or friend
Guardian: ABD-16043-83185
Race: Black or African American
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-06-28
Registered in v-safe
2021-06-28
Dose 1 — Moderna
2021-07-07
Survey response — day 7, dose 1, dependent
MedDRA: No adverse event — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-28	Moderna	No

Free text

None.

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
SRO	No adverse event	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release