3MQ-22971-77901
2 vaccinations
4 coded responses
27 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 444 / OH
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Survey response — day 28, dose 1MedDRA: Frontal sinus operation, Headache, Sinus congestion — Feeling: GoodFree text: Sinus congestion, nasal drainage, headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — day 35, dose 1MedDRA: Cough, Headache, SARS-CoV-2 test, Sinusitis — Feeling: FairFree text: Sinusitis, dry cough, headache. Got tested today for covidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-22
Dose 2 — Moderna
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: SARS-CoV-2 test negative — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, NauseaFree text: I do want to tell you my second vaccine was delayed 19 day due to quarantine. I have 15 year old triplets who all got COVID sequentially and I was in close contact with all of them and was tested twice for COVID and was negative. I believe the first vaccine was instrumental in protecting me!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
-
2022-02-22
Survey response — 12 months, dose 2MedDRA: Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Upper respiratory infectionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Free text
Release 3 — day 28, dose 1
Symptoms: Sinus congestion, nasal drainage, headache.
Release 4 — day 35, dose 1
Symptoms: Sinusitis, dry cough, headache. Got tested today for covid
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I do want to tell you my second vaccine was delayed 19 day due to quarantine. I have 15 year old triplets who all got COVID sequentially and I was in close contact with all of them and was tested twice for COVID and was negative. I believe the first vaccine was instrumental in protecting me!
Release 11 — 12 months, dose 2
Symptoms: Upper respiratory infection
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 | Cough | ✓ | ✓ | ✓ |
| SD | Frontal sinus operation | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release