YP6-64592-56003
3 vaccinations
5 coded responses
39 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 021 / MA
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
H8C-10484-89225
Child or adolescent in my care · Female · 2022-07-12
Timeline
-
2021-03-20
Dose 1 — Moderna
-
2021-03-21
Registered in v-safe
- 2021-03-21
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
-
2021-03-27
Survey response — day 7, dose 1MedDRA: Breast feeding — Feeling: GoodFree text: Im nursing. Can you count me in that group?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
-
2021-04-19
Dose 2 — Moderna
- 2021-04-19
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Ive felt fairly cold, but Im not sure Id describe it as chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-12
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
- 2021-10-18
-
2021-11-19
Dose 3 — Moderna
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
-
2021-12-25
Survey response — day 35, dose 3MedDRA: Headache, Throat irritation — Feeling: GoodFree text: Headache, scratchy throat beginning last night.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Survey response — day 42, dose 3MedDRA: COVID-19, Fatigue, Respiratory tract congestion, Somnolence — Feeling: FairFree text: I have very mild covid- no fever but am stuffy and congested and tired. With the exception of needing to nap one day, symptoms have not interfered.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-18
- 2022-05-20
-
2022-11-19
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: Covid!MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Im nursing. Can you count me in that group?
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Ive felt fairly cold, but Im not sure Id describe it as chills
Release 10 — day 35, dose 3
Symptoms: Headache, scratchy throat beginning last night.
Release 10 — day 42, dose 3
Symptoms: I have very mild covid- no fever but am stuffy and congested and tired. With the exception of needing to nap one day, symptoms have not interfered.
Release 12 — 12 months, dose 3
Symptoms: Covid!
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release