QD9-26040-55481

1 vaccination 0 coded responses 1 check-in 0 free-text entries 0 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 114 / NY
Registered: 2021-07-01

Relationship: Adult relative or friend
Guardian: DLE-26457-88071
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-07-01
Registered in v-safe
2021-07-01
Dose 1 — Moderna
2021-07-05
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do their normal daily activities

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-01	Moderna	No

Free text

None.

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

No MedDRA codes.