WW2-28209-00042
4 vaccinations
4 coded responses
38 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 787 / TX
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
T5G-28817-89980
Child or adolescent in my care · Male · 2022-10-24
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-11
Survey response — day 14, dose 1MedDRA: Headache — Feeling: FairFree text: Headache in the afternoon x2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
-
2021-01-21
Dose 2 — Moderna
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Good · Site: Pain · HeadacheFree text: Bruise at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-05
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-04-22
-
2021-07-25
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: FairFree text: PregnancyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-05
Dose 3 — Moderna
-
2022-01-21
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Developed covid, congestion, cough, sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-24
Dose 4 — Moderna
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-09
- 2022-11-14
- 2022-11-21
- 2022-11-30
- 2022-12-05
- 2023-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-10-24 | Moderna | No |
Free text
Release 1 — day 14, dose 1
Symptoms: Headache in the afternoon x2 days
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Bruise at injection site
Release 9 — 6 months, dose 2
Symptoms: Pregnancy
Release 11 — 12 months, dose 2
Symptoms: Developed covid, congestion, cough, sore throat.
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 | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release