3CY-13176-00825
5 vaccinations
4 coded responses
38 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 076 / NJ
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
- 2021-01-09
- 2021-01-14
-
2021-01-21
Survey response — day 21, dose 1MedDRA: Ear pain, Headache, Sinus pain — Feeling: FairFree text: Headaches Earaches and sinus pain. Sinus and earaches have resolved but headaches persistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-01-29
Dose 2 — Moderna
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-05
-
2021-02-12
Survey response — day 14, dose 2MedDRA: Fatigue, Headache, Sinusitis — Feeling: FairFree text: Just a little headachy feeling like a sinus infection is coming on though it has not progressed. Some fatigue earlier in the week tooMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-05-01
- 2021-07-30
-
2021-11-30
Dose 3 — Moderna
- 2022-01-29
-
2022-04-21
Dose 4 — Moderna
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-21
-
2022-09-21
Dose 5 — Moderna
- 2022-09-21
-
2022-09-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
-
2022-10-05
Survey response — day 14, dose 5MedDRA: Headache, Nasopharyngitis, Oropharyngeal pain, Pre-existing disease, SARS-CoV-2 test negative, Sneezing, Tinnitus — Feeling: FairFree text: Since yesterday- Headache, a bit of a sore throat, sneezing, ears ringing a lot. Likely either sudden onset of allergies or a head cold (took a negative at home Covid test this morning)MedDRA releases: 2024-11 · check-in free text available
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
-
2022-12-21
Survey response — 3 months, dose 5MedDRA: Fatigue, Headache, Myalgia, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinus pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat then sinus pain headache, congestion, fatigue, muscle aches. Moderately bad but resolved quickly- within a week. 4 days of neg home Covid tests while symptomatic. Pos test on day 5 of Sx's, was feeling better but tested as sister was +MedDRA releases: 2024-11 · check-in free text available
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-11-30 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-09-21 | Moderna | No |
Free text
Release 2 — day 21, dose 1
Symptoms: Headaches Earaches and sinus pain. Sinus and earaches have resolved but headaches persist
Release 4 — day 14, dose 2
Symptoms: Just a little headachy feeling like a sinus infection is coming on though it has not progressed. Some fatigue earlier in the week too
Release 12 — day 14, dose 5
Symptoms: Since yesterday- Headache, a bit of a sore throat, sneezing, ears ringing a lot. Likely either sudden onset of allergies or a head cold (took a negative at home Covid test this morning)
Release 12 — 3 months, dose 5
Symptoms: Sore throat then sinus pain headache, congestion, fatigue, muscle aches. Moderately bad but resolved quickly- within a week. 4 days of neg home Covid tests while symptomatic. Pos test on day 5 of Sx's, was feeling better but tested as sister was + cut off by CDC
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 | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release