2XB-32313-15866
4 vaccinations
2 coded responses
48 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 080 / NJ
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
-
2021-01-06
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-21
-
2021-01-27
Survey response — day 21, dose 1MedDRA: Fatigue, Headache, Paranasal sinus discomfort, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: 1 day of fatigue and sinus pressure/headache on 1/23/21- went away after rest and TylenolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Dose 2 — Moderna
-
2021-02-03
Survey response — day 0, dose 2MedDRA: Restlessness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: RestlessnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
-
2021-11-03
Dose 3 — Moderna
- 2021-11-03
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-03
- 2022-05-04
-
2022-09-18
Dose 4 — Moderna
- 2022-09-25
- 2022-10-04
- 2022-10-09
- 2022-10-16
- 2022-10-25
- 2022-10-30
- 2022-12-18
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-09-18 | Moderna | No |
Free text
Release 2 — day 21, dose 1
Symptoms: 1 day of fatigue and sinus pressure/headache on 1/23/21- went away after rest and Tylenol
Release 3 — day 0, dose 2
Systemic reaction (other): Restlessness
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Restlessness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release