XPD-13270-87617
2 vaccinations
2 coded responses
25 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 460 / IN
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
V5C-26471-42786
Child or adolescent in my care · Female · 2022-06-21
FX7-61195-86696
Child or adolescent in my care · Male · 2022-06-21
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
- 2021-03-19
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-28
- 2021-04-04
- 2021-04-09
-
2021-04-17
Dose 2 — Moderna
- 2021-04-17
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Extrasystoles — Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: Heartbeat skippingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Photosensitivity reaction, Rash erythematous — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Photosensitivity - sun rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-24
- 2021-05-01
- 2021-05-09
- 2021-05-15
- 2021-05-23
- 2021-05-29
- 2021-07-17
- 2021-10-16
- 2022-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Heartbeat skipping
Systemic reaction (other): Photosensitivity - sun rash
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 | Extrasystoles | ✓ | ✓ | ✓ |
| SRO | Photosensitivity reaction | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release