V3E-19513-98477
3 vaccinations
3 coded responses
20 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 949 / CA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZN5-14263-78259
Child or adolescent in my care · Female · 2021-12-18
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-02-26
Registered in v-safe
- 2021-02-26
-
2021-03-02
Dose 2 — Moderna
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Good · Site: PainFree text: Metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — day 7, dose 2MedDRA: Dysgeusia — Feeling: GoodFree text: Metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-24
- 2021-03-30
- 2021-04-08
- 2021-04-15
- 2021-09-02
-
2021-12-17
Dose 3 — Moderna
-
2021-12-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2022-01-21
- 2022-06-17
- 2022-12-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Cough
Systemic reaction (other): Metallic taste in mouth
Release 5 — day 7, dose 2
Systemic reaction (other): Metallic taste in mouth
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 | Cough | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release