UTD-28724-11631
5 vaccinations
2 coded responses
36 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 208 / MD
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
6K6-33577-79621
Child or adolescent in my care · Female · 2022-05-14
5R5-25992-29241
Child or adolescent in my care · Male · 2022-06-23
Timeline
-
2021-04-22
Dose 1 — Moderna
-
2021-04-24
Registered in v-safe
- 2021-04-24
- 2021-04-25
-
2021-04-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-05-07
- 2021-05-13
-
2021-05-20
Dose 2 — Moderna
-
2021-05-20
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-21
- 2021-05-22
- 2021-05-23
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
-
2021-06-24
Survey response — day 35, dose 2MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Congestion, runny nose and developing cough - guessing from allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-01
- 2021-08-21
-
2021-12-21
Dose 3 — Moderna
-
2022-05-12
Dose 4 — Moderna
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-18
- 2022-05-19
- 2022-05-26
- 2022-06-04
- 2022-06-09
- 2022-06-18
- 2022-06-23
- 2022-08-11
-
2022-12-28
Dose 5 — Moderna
-
2022-12-30
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body achesAdult check-in
-
2023-01-01
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2023-01-05
-
2023-01-25
Survey response — day 28, dose 5MedDRA: Chills, Nausea, Rhinorrhoea, Viral infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Moderna | |
| 2 | 2021-05-20 | Moderna | |
| 3 | 2021-12-21 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
| 5 | 2022-12-28 | Moderna | No |
Free text
Release 9 — day 35, dose 2
Symptoms: Congestion, runny nose and developing cough - guessing from allergies
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 | Chills | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release