4DQ-17156-25246
3 vaccinations
5 coded responses
22 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 906 / CA
- Registered
- 2021-07-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-05-19
Dose 1 — Moderna
-
2021-06-16
Dose 2 — Moderna
-
2021-07-13
Registered in v-safe
- 2021-07-13
- 2021-07-14
- 2021-07-21
- 2021-07-28
- 2021-09-15
- 2021-12-15
-
2021-12-28
Dose 3 — Moderna
- 2021-12-28
-
2021-12-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-12-31
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Cough and congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-01
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Cough and congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-01-02
Survey response — days 1–6 daily, dose 3MedDRA: Ear discomfort, Facial discomfort, Nasal discomfort, Respiratory tract congestion — Feeling: FairFree text: Congestion, ear/nasal/forehead discomfortMedDRA releases: 2024-11 · check-in free text available
-
2022-01-03
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: FairFree text: Congestion - cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-01-04
Survey response — day 7, dose 3MedDRA: Respiratory tract congestion — Feeling: FairFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-01-11
- 2022-01-18
- 2022-01-25
- 2022-02-01
- 2022-02-08
- 2022-03-29
- 2022-06-28
- 2022-12-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-19 | Moderna | No |
| 2 | 2021-06-16 | Moderna | No |
| 3 | 2021-12-28 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cough and congestion
Systemic reaction (other): Cough and congestion
Systemic reaction (other): Congestion, ear/nasal/forehead discomfort
Systemic reaction (other): Congestion - cold symptoms
Release 10 — day 7, dose 3
Systemic reaction (other): Congestion
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 |
|---|---|---|---|---|
| SRO | Cough | · | · | ✓ |
| SRO | Ear discomfort | · | · | ✓ |
| SRO | Facial discomfort | · | · | ✓ |
| SRO | Nasal discomfort | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release