4JE-21728-45973
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 982 / WA
- Registered
- 2020-12-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-27
Registered in v-safe
-
2020-12-27
Dose 1 — Moderna
-
2020-12-27
Survey response — day 0, dose 1MedDRA: Pre-existing disease — Feeling: Good · HeadacheFree text: nasal allergies prior to vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-03
- 2021-01-10
- 2021-01-17
-
2021-01-23
Dose 2 — Moderna
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
-
2021-02-01
Survey response — day 7, dose 2MedDRA: Productive cough — Feeling: Good · Fatigue or tirednessFree text: I noticed thicker phlegm and morning coughing last 4 days and now thinking I should report that.. I woke up in early am today and coughing super hard that felt like I cleared it all out..,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-13
- 2021-02-22
-
2021-03-01
Survey response — day 35, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: I have had congested cough mostly in mornings... in last 2 weeks it has been getting better... but interesting that it has hung in fir all these weeks since the second shot when I definitely had rough 25 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
-
2021-07-24
Survey response — 6 months, dose 2MedDRA: Uterine cyst — Feeling: GoodFree text: Uterine cystMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-01-23 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): nasal allergies prior to vaccination
Release 3 — day 7, dose 2
Systemic reaction (other): I noticed thicker phlegm and morning coughing last 4 days and now thinking I should report that.. I woke up in early am today and coughing super hard that felt like I cleared it all out..,
Release 4 — day 35, dose 2
Symptoms: I have had congested cough mostly in mornings... in last 2 weeks it has been getting better... but interesting that it has hung in fir all these weeks since the second shot when I definitely had rough 25 hours.
Release 9 — 6 months, dose 2
Symptoms: Uterine cyst
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 | Respiratory tract congestion | · | · | ✓ |
| SD | Uterine cyst | ✓ | · | ✓ |
| SRO | No adverse event | ○ | ○ | ○ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release