X4C-39269-99317
4 vaccinations
1 coded response
49 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 918 / CA
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Registered dependents
3RS-80988-99966
Child or adolescent in my care · Male · 2021-11-14
3MF-28414-46141
Child or adolescent in my care · Male · 2022-01-29
Timeline
-
2021-04-01
Registered in v-safe
-
2021-04-02
Dose 1 — Moderna
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-04-30
Dose 2 — Moderna
- 2021-04-30
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
-
2021-05-21
Survey response — day 21, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Woke up with a little bit of pain in the area of the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-07-30
- 2021-10-29
-
2021-12-08
Dose 3 — Moderna
- 2021-12-08
-
2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
-
2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-03-09
-
2022-05-27
Dose 4 — Moderna
- 2022-06-08
- 2022-06-08
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-08-26
- 2022-11-25
- 2023-05-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
| 4 | 2022-05-27 | Moderna | No |
Free text
Release 8 — day 21, dose 2
Symptoms: Woke up with a little bit of pain in the area of the injection site.
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 | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release