YU5-84438-13701
4 vaccinations
4 coded responses
45 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 296 / SC
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
GJ2-33142-77096
Child or adolescent in my care · Female · 2022-07-07
N8P-14643-24731
Child or adolescent in my care · Male · 2022-08-03
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
- 2021-01-07
- 2021-01-12
- 2021-01-20
-
2021-01-26
Dose 2 — Moderna
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Feeling abnormal — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: Feeling faint/ dizzy; feeling tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Fair · Site: Pain · HeadacheFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-11
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-03-09
Survey response — day 42, dose 2MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Viral gastroenteritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — 3 months, dose 2MedDRA: Productive cough, Rhinorrhoea — Feeling: GoodFree text: Productive cough, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-27
-
2021-11-17
Dose 3 — Moderna
-
2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fever · Fatigue or tirednessAdult check-in
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-12-03
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-02-16
- 2022-05-18
-
2022-11-12
Dose 4 — Moderna
-
2022-11-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · ChillsAdult check-in
- 2022-11-14
-
2022-11-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-19
- 2022-11-26
- 2022-12-03
- 2022-12-10
- 2022-12-17
- 2022-12-24
- 2023-02-11
- 2023-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-11-12 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling faint/ dizzy; feeling tired
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Vertigo
Release 5 — day 42, dose 2
Symptoms: Viral gastroenteritis
Release 8 — 3 months, dose 2
Symptoms: Productive cough, runny nose
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 | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release