42V-28210-96984
4 vaccinations
6 coded responses
46 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 920 / CA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-06
-
2021-01-11
Survey response — day 14, dose 1MedDRA: Condition aggravated, Nasopharyngitis, Pre-existing disease, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: GoodFree text: I have history of bronchitis. But have recently had more post nasal drainage and some chest congestion. Feel like I am coming down with a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-25
-
2021-01-28
Dose 2 — Moderna
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body achesAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-04
Health check-in — day 7, dose 2Feeling: Fair · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-11
-
2021-02-18
Survey response — day 21, dose 2MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Pain, Sinus operation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Feel like I am getting a cold. No fever but feel fatigued and some body aches. Sore throat, mild headache, post nasal drainage, and cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-06
- 2021-03-11
- 2021-04-29
- 2021-07-29
-
2021-10-29
Dose 3 — Moderna
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
-
2022-01-30
Survey response — 3 months, dose 3MedDRA: Dysphonia, Headache, Nasal congestion, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: GoodFree text: Nasal congestion, post nasal drainage, sore throat, hoarse voice, and headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-05-01
Survey response — 6 months, dose 3MedDRA: Cough, Dysphonia, Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Good · Be unable to work or attend schoolFree text: Nasal congestion, sore throat, cough, fatigue, and hoarse voice.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-07
Dose 4 — Moderna
- 2022-10-16
- 2022-10-21
- 2022-10-28
- 2022-11-12
-
2022-11-18
Survey response — day 42, dose 4MedDRA: Chills, Cough, Dyspnoea, Fatigue, Hyperhidrosis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Sore throat, fatigue, cough, congestion, chills, sweats, and shortness of breathMedDRA releases: 2024-11 · check-in free text available
- 2023-01-06
-
2023-04-09
Survey response — 6 months, dose 4MedDRA: Nasopharyngitis, Pre-existing disease — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-10-07 | Moderna | No |
Free text
Release 1 — day 14, dose 1
Symptoms: I have history of bronchitis. But have recently had more post nasal drainage and some chest congestion. Feel like I am coming down with a cold.
Release 4 — day 21, dose 2
Symptoms: Feel like I am getting a cold. No fever but feel fatigued and some body aches. Sore throat, mild headache, post nasal drainage, and cough.
Release 11 — 3 months, dose 3
Symptoms: Nasal congestion, post nasal drainage, sore throat, hoarse voice, and headache
Release 11 — 6 months, dose 3
Symptoms: Nasal congestion, sore throat, cough, fatigue, and hoarse voice.
Release 12 — day 42, dose 4
Symptoms: Sore throat, fatigue, cough, congestion, chills, sweats, and shortness of breath
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ○ | ○ | ○ |
| SD | Sinus operation | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release