LCV-34636-18354
4 vaccinations
2 coded responses
26 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 982 / WA
- Registered
- 2022-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
UAJ-90245-75628
Child or adolescent in my care · Male · 2022-11-01
Timeline
-
2021-04-21
Dose 1 — Moderna
-
2021-05-19
Dose 2 — Moderna
-
2022-01-02
Registered in v-safe
-
2022-01-03
Dose 3 — Moderna
- 2022-01-03
-
2022-01-04
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-01-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2022-01-06
-
2022-01-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: RednessFree text: Swollen lymph nodes in neckMedDRA releases: 2024-11 · check-in free text available
- 2022-01-08
- 2022-01-09
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-02-07
- 2022-02-14
- 2022-04-04
- 2022-07-09
-
2022-10-08
Dose 4 — Pfizer-BioNTech
-
2022-10-09
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2022-10-11
- 2022-10-14
- 2022-10-25
- 2022-10-31
- 2022-11-07
- 2022-11-12
-
2022-11-19
Survey response — day 42, dose 4MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold/coughMedDRA releases: 2024-11 · check-in free text available
- 2023-01-07
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Moderna | No |
| 2 | 2021-05-19 | Moderna | No |
| 3 | 2022-01-03 | Moderna | No |
| 4 | 2022-10-08 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes in neck
Release 12 — day 42, dose 4
Symptoms: Cold/cough
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 | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release