T55-26615-25229
4 vaccinations
4 coded responses
15 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 762 / TX
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
SZ6-32896-24636
Child or adolescent in my care · Female · 2022-05-22
Timeline
-
2021-04-22
Registered in v-safe
-
2021-04-22
Dose 1 — Moderna
-
2021-04-22
Survey response — day 0, dose 1MedDRA: Asthenia — Feeling: Fair · Chills, Fatigue or tirednessFree text: WeaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-05-01
- 2021-05-16
-
2021-05-20
Dose 2 — Moderna
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-26
-
2022-02-12
Dose 3 — Moderna
- 2022-05-22
-
2022-08-15
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have COVIDMedDRA releases: 2024-11 · check-in free text available
-
2023-02-07
Dose 4 — Moderna
-
2023-02-12
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: Good · Fatigue or tirednessMedDRA releases: 2024-11
- 2023-02-12
- 2023-02-13
- 2023-02-23
- 2023-03-09
- 2023-03-16
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Moderna | |
| 2 | 2021-05-20 | Moderna | |
| 3 | 2022-02-12 | Moderna | No |
| 4 | 2023-02-07 | Moderna | No |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Weakness
Release 12 — 6 months, dose 3
Symptoms: I have COVID
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 | COVID-19 | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release