QLF-68024-89089

2 vaccinations 1 coded response 4 check-ins 1 free-text entry 0 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 031 / NH
Registered: 2021-10-02

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

SN5-10166-77312 Child or adolescent in my care · Male · 2022-02-13

MJF-12046-13831 Child or adolescent in my care · Female · 2022-02-13

2MR-28250-73811 Child or adolescent in my care · Female · 2022-02-13

Timeline

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

2021-08-16
Dose 1 — Moderna
2021-09-13
Dose 2 — Moderna
2021-10-02
Registered in v-safe
2021-10-02
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-10-04
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Headache — Feeling: Fair

Free text: Headache, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-10-25
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-16	Moderna	No
2	2021-09-13	Moderna	No

Free text

Release 9 — day 21, dose 2

2021-10-04

Symptoms: Headache, diarrhea

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	Diarrhoea	·	·	✓
SD	Headache	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release