4KM-24400-15849
3 vaccinations
4 coded responses
39 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 503 / IA
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
-
2020-12-24
Dose 1 — Moderna
- 2020-12-24
-
2020-12-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
-
2021-01-07
Survey response — day 14, dose 1MedDRA: Cough, Headache, Impaired work ability, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairFree text: Viral illness symptoms of HA, sore throat, congestion, and cough started 1/5. Tested negative for COVID on 1/6. Was only off work 1 day due to pending COVID test, not due to the severity of symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
-
2021-01-21
Dose 2 — Moderna
- 2021-01-21
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
- 2021-01-23
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Swelling/pain in axillary lymph nodes on side of vaccine injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
-
2021-02-11
Survey response — day 21, dose 2MedDRA: Rhinorrhoea, Sinus congestion, Sinus pain, Sneezing — Feeling: FairFree text: Cold symptoms- sneezing, runny nose, sinus pain/congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-04-22
- 2021-07-22
-
2021-11-04
Dose 3 — Moderna
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · HeadacheFree text: Axillary lymph node swellingMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-11-09
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
- 2022-05-05
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Free text
Release 1 — day 14, dose 1
Symptoms: Viral illness symptoms of HA, sore throat, congestion, and cough started 1/5. Tested negative for COVID on 1/6. Was only off work 1 day due to pending COVID test, not due to the severity of symptoms.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling/pain in axillary lymph nodes on side of vaccine injection
Release 4 — day 21, dose 2
Symptoms: Cold symptoms- sneezing, runny nose, sinus pain/congestion.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Axillary lymph node swelling
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 | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release