M9Z-18667-58694
4 vaccinations
4 coded responses
41 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 442 / OH
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KQ6-87026-86717
Child or adolescent in my care · Female · 2022-06-22
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-09
-
2021-08-06
Survey response — 6 months, dose 2MedDRA: Aphonia, Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: GoodFree text: I had a sore throat and some congestion last week with a dry cough. Lost my voice intermittently but am back to 100%MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-05
Dose 3 — Moderna
- 2022-02-05
- 2022-05-06
-
2022-06-03
Dose 4 — Moderna
- 2022-06-05
- 2022-06-06
- 2022-06-07
- 2022-06-09
- 2022-06-10
- 2022-06-17
-
2022-06-24
Survey response — day 21, dose 4MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Cold symptoms, runny nose, sore throat, congestion and cough. Took an at home Covid test with a negative result.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-03
- 2022-07-08
- 2022-07-15
- 2022-09-02
-
2022-12-02
Survey response — 6 months, dose 4MedDRA: Delivery, Unevaluable event — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Delivered baby · Healthcare visit (other): Labor and deliveryMedDRA releases: 2024-11 · check-in free text available
-
2022-12-02
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-12-05
- 2023-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-06-03 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: Runny nose, sore throat
Release 9 — 6 months, dose 2
Symptoms: I had a sore throat and some congestion last week with a dry cough. Lost my voice intermittently but am back to 100%
Release 12 — day 21, dose 4
Symptoms: Cold symptoms, runny nose, sore throat, congestion and cough. Took an at home Covid test with a negative result.
Release 12 — 6 months, dose 4
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Aphonia | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release