3YD-13908-29420
3 vaccinations
5 coded responses
38 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 530 / WI
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-09
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-21
Survey response — day 14, dose 1MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
-
2021-05-05
Dose 2 — Moderna
-
2021-05-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · FeverFree text: SweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-09
- 2021-05-10
-
2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · HeadacheFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Survey response — day 7, dose 2MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · HeadacheFree text: Sore throat, stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-18
- 2021-08-04
- 2021-11-03
-
2021-12-01
Dose 3 — Moderna
- 2021-12-01
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-12-04
- 2021-12-05
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
-
2022-01-12
Survey response — day 42, dose 3MedDRA: Chills, Headache, Oropharyngeal pain, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, aches, chills, headache, sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-03-02
- 2022-06-01
- 2022-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
Free text
Release 7 — day 14, dose 1
Symptoms: Sore throat
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sweats
Systemic reaction (other): Sore throat
Release 8 — day 7, dose 2
Systemic reaction (other): Sore throat, stuffy nose
Release 10 — day 42, dose 3
Symptoms: Fever, aches, chills, headache, sore throat
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 | Chills | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release