Y4U-11531-76854

2 vaccinations 1 coded response 2 check-ins 1 free-text entry 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 486 / MI
Registered: 2021-05-03

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

EXZ-31073-52219 Child or adolescent in my care · Female · 2021-11-08

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-05-03
Registered in v-safe
2021-05-03
Dose 1 — Moderna
2021-05-03
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-10-08
Dose 2 — Moderna
2021-11-08
Survey response — day 28, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cough, short of breath

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-03	Moderna
2	2021-10-08	Moderna	No

Free text

Release 10 — day 28, dose 2

2021-11-08

Symptoms: Cough, short of breath

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	Cough	·	·	✓
SD	Dyspnoea	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release