XXQ-10223-68058
4 vaccinations
2 coded responses
29 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 194 / PA
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
62L-32668-02976
Child or adolescent in my care · Male · 2022-07-16
Timeline
-
2021-04-05
Dose 1 — Moderna
-
2021-04-25
Registered in v-safe
- 2021-04-25
-
2021-04-26
Survey response — day 21, dose 1MedDRA: Nausea — Feeling: GoodFree text: NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Dose 2 — Moderna
- 2021-05-03
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-06-02
- 2021-06-07
- 2021-06-14
- 2021-08-02
-
2021-11-02
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Pregnancy — Feeling: GoodFree text: Pregnant, coldMedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Dose 3 — Moderna
-
2022-10-19
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-20
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2023-01-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-03 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
| 4 | 2022-10-19 | Pfizer-BioNTech | Flu |
Free text
Release 8 — day 21, dose 1
Symptoms: Nausea
Release 10 — 6 months, dose 2
Symptoms: Pregnant, cold
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 | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release