MG6-20505-17884
3 vaccinations
2 coded responses
18 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 850 / AZ
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
EU4-74918-96015
Child or adolescent in my care · Male · 2022-06-26
7LR-18341-39952
Child or adolescent in my care · Male · 2022-06-26
Timeline
-
2021-03-18
Dose 1 — Moderna
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 2 — Moderna
-
2021-04-15
Survey response — day 0, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Just tired wanted to sleep during dauMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-21
- 2021-05-27
- 2021-07-15
- 2021-10-14
-
2021-12-18
Dose 3 — Moderna
- 2022-04-15
- 2022-06-20
-
2022-12-18
Survey response — 12 months, dose 3MedDRA: Lymphadenopathy, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Swollen lymph nodes under chin · Healthcare visit (other): Saw a allergist and dermatologist as wellMedDRA releases: 2024-11 · check-in free text available
-
2022-12-18
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-12-18 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Just tired wanted to sleep during dau
Release 12 — 12 months, dose 3
Symptoms: Swollen lymph nodes under chin
Healthcare visit (other): Saw a allergist and dermatologist as well
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 | Office visit | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release