47J-17073-18596
3 vaccinations
5 coded responses
32 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 561 / MN
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-20
Registered in v-safe
- 2021-01-22
- 2021-01-27
- 2021-02-04
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-04
-
2021-03-11
Survey response — day 28, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throat.a couple days. It could be allergy or sinus. I have bad sinusesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-11-09
Dose 3 — Moderna
- 2021-11-09
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-11-12
- 2021-11-13
- 2021-11-14
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Sinus disorder — Feeling: FairFree text: Sinuses have been acting up for a few days since shot. I don't know if it's coincidenceMedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Survey response — day 7, dose 3MedDRA: Pre-existing disease, Sinus disorder — Feeling: GoodFree text: Still trouble with sinuses like I stated in previous day not sure if it's coincidence or not. I do have chronic sinus problemsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
-
2022-02-08
Survey response — 3 months, dose 3MedDRA: Cough, Pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Congestion. Achy all over. Cough time to timeMedDRA releases: 2024-11 · check-in free text available
-
2022-02-08
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-24
-
2022-05-10
Survey response — 6 months, dose 3MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: My sinuses are due to a change in humidity. Dry to humid. Humid to dryMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 28, dose 2
Symptoms: Sore throat.a couple days. It could be allergy or sinus. I have bad sinuses
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sinuses have been acting up for a few days since shot. I don't know if it's coincidence
Release 10 — day 7, dose 3
Systemic reaction (other): Still trouble with sinuses like I stated in previous day not sure if it's coincidence or not. I do have chronic sinus problems
Release 11 — 3 months, dose 3
Symptoms: Congestion. Achy all over. Cough time to time
Release 11 — 6 months, dose 3
Symptoms: My sinuses are due to a change in humidity. Dry to humid. Humid to dry
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 | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Sinus disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release