ZH2-16937-78630
4 vaccinations
3 coded responses
52 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 180 / PA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5G8-30510-26325
Child or adolescent in my care · Female · 2021-11-26
72C-16032-81900
Child or adolescent in my care · Female · 2022-06-22
VVF-30143-23462
Child or adolescent in my care · Female · 2022-06-22
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
-
2021-08-13
Survey response — 6 months, dose 2MedDRA: Headache, Nasal congestion — Feeling: FairFree text: Nasal congestion HeadacheMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-26
Dose 3 — Moderna
- 2021-11-26
-
2021-11-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-02-25
- 2022-05-27
-
2022-11-02
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-11-02
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-11-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2022-11-04
-
2022-11-05
Survey response — days 1–6 daily, dose 4MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: FairFree text: Nasal congestion, sore throaMedDRA releases: 2024-11 · check-in free text available
-
2022-11-06
Survey response — days 1–6 daily, dose 4MedDRA: Nasal congestion — Feeling: GoodFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-11-07
- 2022-11-08
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
- 2022-12-14
- 2023-02-01
- 2023-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-26 | Moderna | No |
| 4 | 2022-11-02 | Pfizer-BioNTech | Flu |
Free text
Release 9 — 6 months, dose 2
Symptoms: Nasal congestion Headache
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Nasal congestion, sore throa
Systemic reaction (other): Nasal congestion
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 | Headache | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release