LRQ-15631-80073
4 vaccinations
4 coded responses
43 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 430 / OH
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
786-39536-18499
Child or adolescent in my care · Male · 2022-06-26
3ZB-30285-86624
Child or adolescent in my care · Male · 2022-06-26
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-06
- 2021-01-14
- 2021-01-21
-
2021-01-25
Dose 2 — Moderna
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-16
- 2021-02-23
- 2021-03-01
- 2021-03-08
- 2021-04-27
- 2021-07-26
-
2021-10-26
Dose 3 — Moderna
- 2021-10-26
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-11
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-27
-
2022-10-19
Dose 4 — Moderna
- 2022-10-26
- 2022-10-26
-
2022-11-02
Survey response — day 14, dose 4MedDRA: Cough, Malaise, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Sore throat, general malaise, runny nose, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-11-09
Survey response — day 21, dose 4MedDRA: Cough, Dysphonia, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Coughing, runny nose. Raspy voice. One day of sore throat.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-23
-
2022-12-01
Survey response — day 42, dose 4MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2023-01-19
-
2023-04-26
Survey response — 6 months, dose 4MedDRA: Streptococcal infection — 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 · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-26
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-10-19 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — day 14, dose 4
Symptoms: Sore throat, general malaise, runny nose, cough
Release 12 — day 21, dose 4
Symptoms: Coughing, runny nose. Raspy voice. One day of sore throat.
Release 12 — day 42, dose 4
Symptoms: Runny nose
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 | Dysphonia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release