TC4-29231-06325
4 vaccinations
4 coded responses
50 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 221 / VA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
K7X-31592-62750
Child or adolescent in my care · Female · 2021-11-06
23C-23597-88521
Child or adolescent in my care · Male · 2021-11-06
ZAY-19425-99613
Child or adolescent in my care · Male · 2022-08-16
Timeline
-
2021-03-13
Dose 1 — Moderna
-
2021-03-16
Registered in v-safe
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
-
2021-03-27
Survey response — day 14, dose 1MedDRA: Injection site swelling — Feeling: GoodFree text: 2 inch size raised area where shot was injected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
-
2021-04-10
Dose 2 — Moderna
- 2021-04-10
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-10
- 2021-05-15
- 2021-05-22
- 2021-07-10
- 2021-10-09
-
2021-11-19
Dose 3 — Moderna
- 2021-11-19
-
2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-21
-
2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia — Feeling: GoodFree text: Pain in elbow and shoulder of vaccine armMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-24
-
2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Cardiac flutter — Feeling: GoodFree text: Possible heart fluttersMedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-12-03
- 2021-12-17
- 2021-12-25
-
2021-12-31
Survey response — day 42, dose 3MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cold symptoms- sore throat, cough, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-02-18
- 2022-05-21
-
2022-10-18
Dose 4 — Moderna
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-17
- 2022-11-22
- 2022-11-29
- 2023-01-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-10-18 | Moderna | No |
Free text
Release 6 — day 14, dose 1
Symptoms: 2 inch size raised area where shot was injected.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain in elbow and shoulder of vaccine arm
Systemic reaction (other): Possible heart flutters
Release 10 — day 42, dose 3
Symptoms: Cold symptoms- sore throat, cough, congestion
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 | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Cardiac flutter | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release