UTR-63173-61508
4 vaccinations
1 coded response
2 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 601 / IL
- Registered
- 2022-07-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Moderna
-
2021-04-05
Dose 2 — Moderna
-
2021-11-27
Dose 3 — Moderna
-
2022-07-01
Dose 4 — Moderna
-
2022-07-04
Registered in v-safe
-
2022-07-04
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Headache, Nausea, Vomiting — Feeling: Fair · DiarrheaFree text: I was not signed up at the time but the day following the 4th dose I had fatigue, headache, nausea, and vomittingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | No |
| 2 | 2021-04-05 | Moderna | No |
| 3 | 2021-11-27 | Moderna | No |
| 4 | 2022-07-01 | Moderna | No |
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I was not signed up at the time but the day following the 4th dose I had fatigue, headache, nausea, and vomitting
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 |
|---|---|---|---|---|
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release