W4E-65701-10477
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 928 / CA
- Registered
- 2021-05-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-19
Dose 1 — Moderna
-
2021-05-20
Registered in v-safe
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2021-05-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-05-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-05-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
-
2021-05-25
Survey response — days 1–6 daily, dose 1MedDRA: Ear congestion — Feeling: Fair · Fatigue or tirednessFree text: Ear congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-06-02
- 2021-06-09
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2021-06-16
Survey response — day 28, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-21
Dose 2 — Moderna
-
2021-06-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-06-24
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2021-06-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-06-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-06-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-06-28
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-07-05
- 2021-07-12
- 2021-07-19
- 2021-07-26
- 2021-08-02
- 2021-09-20
- 2021-12-20
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2022-06-22
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: GoodFree text: I caught COVID-19 again.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-19 | Moderna | |
| 2 | 2021-06-21 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Ear congestion
Release 9 — day 28, dose 1
Symptoms: Pregnancy
Release 12 — 12 months, dose 2
Symptoms: I caught COVID-19 again.
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 | COVID-19 | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Ear congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release