S8Q-32046-74856
4 vaccinations
1 coded response
49 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 750 / TX
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
SGJ-33150-68945
Child or adolescent in my care · Female · 2021-12-06
WVU-26283-25217
Child or adolescent in my care · Male · 2022-06-27
Timeline
-
2021-03-26
Dose 1 — Moderna
-
2021-04-05
Registered in v-safe
- 2021-04-05
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-04-24
Dose 2 — Moderna
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-08
- 2021-05-15
-
2021-05-22
Survey response — day 28, dose 2MedDRA: Mouth ulceration — Feeling: FairFree text: Multiple mouth ulcersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-06-05
- 2021-07-24
- 2021-10-23
-
2021-12-06
Dose 3 — Moderna
- 2021-12-06
-
2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-03-07
- 2022-06-08
-
2022-10-09
Dose 4 — Moderna
- 2022-10-09
-
2022-10-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-23
- 2022-10-30
- 2022-11-06
- 2022-11-13
- 2022-11-20
- 2023-01-08
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-24 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
| 4 | 2022-10-09 | Moderna | No |
Free text
Release 8 — day 28, dose 2
Symptoms: Multiple mouth ulcers
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 | Mouth ulceration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release