3S9-38859-21490
4 vaccinations
3 coded responses
47 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 200 / DC
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-17
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Moderna
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-09
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Flatulence, Parosmia — Feeling: Fair · Muscle or body achesFree text: Awful, smelly gas and my diet is the same as usual. This gas is insane! I only mention it because its rare i smell this bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-05-10
- 2021-08-07
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-03
- 2021-11-08
- 2021-11-15
- 2021-11-24
-
2021-11-29
Survey response — day 35, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: I have a cold. Not covid. I took a rapid antigen test and have had no contact w anyone not vaccinated.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2022-01-24
- 2022-04-25
-
2022-09-16
Dose 4 — Moderna
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-07
-
2022-10-21
Survey response — day 35, dose 4MedDRA: Cough, Fatigue, Oropharyngeal pain, Respiratory symptom, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend schoolFree text: I must have rsv - sore throat, nasal drips, minor cough. All covid tests are negative. No fever just run down. Worked from home so i wouldn't infect others. Did not see a dr.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-12-18
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-09-16 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Awful, smelly gas and my diet is the same as usual. This gas is insane! I only mention it because its rare i smell this bad.
Release 10 — day 35, dose 3
Symptoms: I have a cold. Not covid. I took a rapid antigen test and have had no contact w anyone not vaccinated.
Release 12 — day 35, dose 4
Symptoms: I must have rsv - sore throat, nasal drips, minor cough. All covid tests are negative. No fever just run down. Worked from home so i wouldn't infect others. Did not see a dr.
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 | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Parosmia | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release