ZJU-15821-74383
4 vaccinations
2 coded responses
52 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 981 / WA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
BW4-76016-95805
Child or adolescent in my care · Female · 2022-06-23
6UU-99071-01044
Child or adolescent in my care · Male · 2022-12-16
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-25
- 2021-01-30
- 2021-02-06
- 2021-02-13
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
-
2021-03-22
Survey response — day 35, dose 2MedDRA: Respiratory tract congestion — Feeling: GoodFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-05-19
- 2021-08-16
-
2022-01-02
Dose 3 — Moderna
- 2022-01-02
-
2022-01-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
-
2022-01-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fever · Fatigue or tirednessAdult check-in
-
2022-01-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, SwellingFree text: Swollen lymph nodeMedDRA releases: 2024-11 · check-in free text available
- 2022-01-07
- 2022-01-08
- 2022-01-09
- 2022-01-16
- 2022-01-23
- 2022-01-30
- 2022-02-06
- 2022-02-13
- 2022-04-03
- 2022-07-03
-
2022-09-14
Dose 4 — Moderna
- 2022-09-14
-
2022-09-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-17
- 2022-09-19
-
2022-09-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-09-23
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2022-01-02 | Moderna | No |
| 4 | 2022-09-14 | Moderna | No |
Free text
Release 6 — day 35, dose 2
Symptoms: Congestion
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph node
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 | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release