V3B-15178-07599
4 vaccinations
1 coded response
12 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 913 / CA
- Registered
- 2021-12-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
LBD-67125-13894
Child or adolescent in my care · Male · 2022-12-16
Timeline
-
2021-04-15
Dose 1 — Moderna
-
2021-05-14
Dose 2 — Moderna
-
2021-11-19
Dose 3 — Moderna
-
2021-12-16
Registered in v-safe
- 2021-12-16
- 2021-12-19
- 2021-12-24
- 2021-12-31
- 2022-02-18
- 2022-05-20
-
2022-09-16
Dose 4 — Moderna
- 2022-10-05
- 2022-10-09
- 2022-10-14
- 2022-10-21
-
2022-10-28
Survey response — day 42, dose 4MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend schoolFree text: Cough, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | No |
| 2 | 2021-05-14 | Moderna | No |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-09-16 | Moderna | No |
Free text
Release 12 — day 42, dose 4
Symptoms: 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 | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release