SFA-21495-19864
3 vaccinations
2 coded responses
24 check-ins
2 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 36-40
- ZIP prefix
- 017 / MA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body achesAdult check-in
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-05
Dose 2 — Moderna
- 2021-02-07
- 2021-02-08
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: test PregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-21
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
-
2022-01-23
Dose 3 — Moderna
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: joint painMedDRA releases: 2024-11 · check-in free text available
- 2022-02-08
- 2022-03-08
- 2022-07-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2022-01-23 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): test Pregnant
Release 11 — 12 months, dose 2
Symptoms: joint pain
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 | Arthralgia | · | · | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release