MRZ-30545-60502
4 vaccinations
2 coded responses
39 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 473 / IN
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
MN5-24885-65045
Child or adolescent in my care · Male · 2022-12-12
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-31
Dose 2 — Moderna
- 2021-04-07
- 2021-04-14
- 2021-04-21
-
2021-04-28
Survey response — day 28, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: A coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
-
2021-12-05
Dose 3 — Moderna
- 2021-12-05
-
2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-02
- 2022-01-09
- 2022-01-16
- 2022-03-06
- 2022-06-06
-
2022-09-10
Dose 4 — ModernaCo-administered: Flu
-
2022-09-17
Survey response — day 7, dose 4MedDRA: Cough — Feeling: Good · Fever · Be unable to work or attend schoolFree text: Coughing but probably unrelatedMedDRA releases: 2024-11 · check-in free text available
- 2022-09-24
- 2022-10-01
- 2022-10-10
- 2022-10-17
- 2022-10-22
- 2022-12-12
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-12-05 | Moderna | No |
| 4 | 2022-09-10 | Moderna | Flu |
Free text
Release 8 — day 28, dose 2
Symptoms: A cold
Release 12 — day 7, dose 4
Systemic reaction (other): Coughing but probably unrelated
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 | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release