MVX-67303-91480
4 vaccinations
5 coded responses
12 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 105 / NY
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5J8-26380-82625
Child or adolescent in my care · Male · 2022-12-28
Timeline
-
2021-02-24
Dose 1 — Moderna
-
2021-03-10
Registered in v-safe
-
2021-03-10
Survey response — day 14, dose 1MedDRA: Erythema — Feeling: FairFree text: My arm (Same side i got the vaccine) has red dots that look like blood clotsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-24
Dose 2 — Moderna
- 2021-03-24
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-29
-
2021-04-09
Survey response — day 14, dose 2MedDRA: Arthralgia, Back pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Hip and back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
-
2021-09-25
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: Good · Be unable to do your normal daily activitiesFree text: 3 months PregnantMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: dizzy spellMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
-
2022-09-29
Dose 4 — Moderna
-
2022-12-29
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend schoolFree text: COVIDMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-09-29 | Moderna | No |
Free text
Release 5 — day 14, dose 1
Symptoms: My arm (Same side i got the vaccine) has red dots that look like blood clots
Release 7 — day 14, dose 2
Symptoms: Hip and back pain
Release 9 — 6 months, dose 2
Symptoms: 3 months Pregnant
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): dizzy spell
Release 12 — 3 months, dose 4
Symptoms: COVID
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release