SSF-28803-13993
4 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 935 / CA
- Registered
- 2021-11-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
Q2Q-93459-29757
Child or adolescent in my care · Male · 2022-07-13
MM5-20791-87822
Child or adolescent in my care · Female · 2022-07-13
Timeline
-
2021-03-13
Dose 1 — Moderna
-
2021-04-10
Dose 2 — Moderna
-
2021-11-29
Registered in v-safe
-
2021-11-29
Dose 3 — Moderna
-
2021-11-30
Survey response — days 1–6 daily, dose 3MedDRA: Dyspepsia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: HeartburnMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body achesAdult check-in
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
-
2022-01-03
Survey response — day 35, dose 3MedDRA: Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Runny nose and congestion similar to a cold. I was unable to get a COVID test due to shortage. Does not seem to be related to vaccinationMedDRA releases: 2024-11 · check-in free text available
- 2022-01-10
-
2022-03-02
Survey response — 3 months, dose 3MedDRA: Blood pressure increased — Feeling: GoodFree text: Higher blood pressure for me, though not too high/still in normal rangeMedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
-
2022-09-25
Dose 4 — ModernaCo-administered: Flu
-
2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-10-30
- 2022-11-06
- 2022-12-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | No |
| 2 | 2021-04-10 | Moderna | No |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-09-25 | Moderna | Flu |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Heartburn
Release 10 — day 35, dose 3
Symptoms: Runny nose and congestion similar to a cold. I was unable to get a COVID test due to shortage. Does not seem to be related to vaccination
Release 11 — 3 months, dose 3
Symptoms: Higher blood pressure for me, though not too high/still in normal range
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 | Blood pressure increased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release