V9X-26426-28556
3 vaccinations
2 coded responses
9 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 934 / CA
- Registered
- 2021-08-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-02-18
Dose 2 — Moderna
-
2021-08-30
Registered in v-safe
-
2022-01-14
Dose 3 — Moderna
-
2022-01-15
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-16
- 2022-01-17
- 2022-01-19
- 2022-01-20
- 2022-01-21
-
2022-01-28
Survey response — day 14, dose 3MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Cough, sore throat, snifflyMedDRA releases: 2024-11 · check-in free text available
-
2022-02-07
Survey response — day 21, dose 3MedDRA: Cough, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend schoolFree text: Fever, cough, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | No |
| 2 | 2021-02-18 | Moderna | No |
| 3 | 2022-01-14 | Moderna | No |
Free text
Release 11 — day 14, dose 3
Symptoms: Cough, sore throat, sniffly
Release 11 — day 21, dose 3
Symptoms: Fever, 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 | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release