NT5-12569-60228
2 vaccinations
2 coded responses
2 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 382 / TN
- Registered
- 2021-11-15
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Registered dependents
NR2-28742-70278
Other · Male · 2021-11-15
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-11-15
Registered in v-safe
-
2021-11-15
Dose 2 — Moderna
-
2021-11-15
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: NoneMedDRA releases: 2024-11 · check-in free text available
-
2021-11-22
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: None to report at this time, when do we need are booster for the moderna vaccine pleaseMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | No |
| 2 | 2021-11-15 | Moderna | No |
Free text
Release 10 — day 0, dose 2
Systemic reaction (other): None
Release 10 — day 7, dose 2
Systemic reaction (other): None to report at this time, when do we need are booster for the moderna vaccine please
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 |
|---|---|---|---|---|
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release