XDZ-65960-88978
3 vaccinations
2 coded responses
38 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 441 / OH
- Registered
- 2021-05-18
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
CMQ-27197-00842
Child or adolescent in my care · Female · 2022-06-22
Timeline
-
2021-05-18
Registered in v-safe
-
2021-05-18
Dose 1 — Moderna
- 2021-05-18
-
2021-05-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
- 2021-05-21
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-06-01
- 2021-06-09
-
2021-06-15
Dose 2 — Moderna
-
2021-06-15
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: Good · Site: SwellingFree text: Soreness in vaccine site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-17
- 2021-06-18
- 2021-06-19
- 2021-06-20
- 2021-06-21
- 2021-06-22
- 2021-06-29
- 2021-07-06
- 2021-07-13
- 2021-07-20
- 2021-07-27
- 2021-09-14
-
2021-12-14
Survey response — 6 months, dose 2MedDRA: Sinusitis — Feeling: FairFree text: Sinus infection due to change in weather.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-15
Dose 3 — Moderna
-
2021-12-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body achesAdult check-in
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-03-16
- 2022-06-15
- 2022-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-18 | Moderna | |
| 2 | 2021-06-15 | Moderna | |
| 3 | 2021-12-15 | Moderna | No |
Free text
Release 9 — day 0, dose 2
Systemic reaction (other): Soreness in vaccine site.
Release 10 — 6 months, dose 2
Symptoms: Sinus infection due to change in weather.
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 | Sinusitis | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release