L3H-27154-59116
3 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 110 / NY
- Registered
- 2021-11-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
XQS-19683-43443
Child or adolescent in my care · Male · 2021-11-07
Timeline
-
2020-12-23
Dose 1 — Moderna
-
2021-01-20
Dose 2 — Moderna
-
2021-11-07
Registered in v-safe
-
2021-11-10
Dose 3 — Moderna
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-11-13
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion — Feeling: Fair · Fatigue or tirednessFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2022-02-09
- 2022-05-11
-
2022-11-10
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · 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: I got COVID on 09/06/22MedDRA releases: 2024-11 · check-in free text available
-
2022-11-10
Report sent to call center — 12 months, 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)
- 2022-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | No |
| 2 | 2021-01-20 | Moderna | No |
| 3 | 2021-11-10 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Stuffy nose
Release 12 — 12 months, dose 3
Symptoms: I got COVID on 09/06/22
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 | COVID-19 | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release