XB2-23885-54102
2 vaccinations
2 coded responses
15 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 911 / CA
- Registered
- 2021-05-01
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
SYJ-12313-20024
Child or adolescent in my care · Female · 2022-07-22
Timeline
-
2021-04-03
Dose 1 — Moderna
-
2021-05-01
Registered in v-safe
-
2021-05-01
Dose 2 — Moderna
-
2021-05-01
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Soreness in the arm at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Fair · Fatigue or tirednessFree text: Arm soreness at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-07-31
- 2021-10-30
- 2022-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Moderna | |
| 2 | 2021-05-01 | Moderna |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Soreness in the arm at the injection site
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Arm soreness at 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 |
|---|---|---|---|---|
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release