SQQ-23881-33295
5 vaccinations
5 coded responses
66 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 851 / AZ
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2DZ-15540-86476
Child or adolescent in my care · Male · 2023-01-06
UHD-33274-04709
Child or adolescent in my care · Female · 2023-01-20
Timeline
-
2021-03-21
Dose 1 — Moderna
-
2021-03-22
Registered in v-safe
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-19
-
2021-04-22
Dose 2 — Moderna
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-22
- 2021-10-21
-
2021-11-04
Dose 3 — Moderna
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to work or attend schoolAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-20
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-18
-
2022-02-05
Survey response — 3 months, dose 3MedDRA: Cough, Dyspnoea, Heart rate irregular, Oropharyngeal pain, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: About 2 weeks ago, cough, shortness of breath, irregular heartbeat, sore throat, sneezingMedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-02-08
- 2022-05-05
-
2022-05-11
Dose 4 — Moderna
- 2022-05-11
-
2022-05-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2022-05-13
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
- 2022-08-10
-
2022-12-09
Dose 5 — Moderna
- 2022-12-09
- 2022-12-10
- 2022-12-11
- 2022-12-12
-
2022-12-13
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough and congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-12-14
Survey response — days 1–6 daily, dose 5MedDRA: Influenza, Rhinorrhoea — Feeling: Poor · Fever · Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Runny nose (flu)MedDRA releases: 2024-11 · check-in free text available
-
2022-12-15
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Discomfort, Influenza virus test positive, Nasal congestion — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Nasal congestion and pressure and cough (confirmed flu)MedDRA releases: 2024-11 · check-in free text available
-
2022-12-16
Survey response — day 7, dose 5MedDRA: Cough, Influenza, Respiratory tract congestion — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough and congestion from fluMedDRA releases: 2024-11 · check-in free text available
- 2022-12-23
- 2022-12-30
- 2023-01-06
- 2023-01-15
- 2023-01-20
- 2023-03-10
- 2023-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-12-09 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — 3 months, dose 3
Symptoms: About 2 weeks ago, cough, shortness of breath, irregular heartbeat, sore throat, sneezing
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Cough and congestion
Systemic reaction (other): Runny nose (flu)
Systemic reaction (other): Nasal congestion and pressure and cough (confirmed flu)
Release 12 — day 7, dose 5
Systemic reaction (other): Cough and congestion from flu
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 | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Influenza | · | · | ✓ |
| SRO | Influenza virus test positive | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release