PVP-19477-99271
4 vaccinations
2 coded responses
26 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 468 / IN
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
79G-29512-55225
Child or adolescent in my care · Male · 2022-06-29
Timeline
-
2021-03-27
Dose 1 — Moderna
-
2021-04-24
Registered in v-safe
-
2021-04-24
Dose 2 — Moderna
-
2021-04-24
Health check-in — day 0, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-03
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-30
- 2021-06-07
- 2021-07-24
- 2021-10-25
-
2021-12-03
Dose 3 — Moderna
-
2022-04-24
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-06-03
-
2022-09-09
Dose 4 — ModernaCo-administered: Flu
-
2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-12
- 2022-09-13
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-21
- 2022-12-09
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-09-09 | Moderna | Flu |
Free text
Release 11 — 12 months, dose 2
Symptoms: Cold symptoms
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 | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release