4RF-17293-52009
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 261 / WV
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
- 2021-01-17
- 2021-01-18
- 2021-01-21
- 2021-01-22
- 2021-01-29
-
2021-02-05
Survey response — day 21, dose 1MedDRA: Paranasal sinus hypersecretion, SARS-CoV-2 test negative — Feeling: GoodFree text: About a week ago I started having sinus drainage due to allergies. I have been help take care of my elderly father so I went and was tested to COVID. It was negative but thought I should it was worth mentioning. Still having some drainage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Dose 2 — Moderna
-
2021-02-25
Survey response — day 7, dose 2MedDRA: Chills, Pain, Pyrexia, Self-medication — Feeling: Good · ChillsFree text: I had my shot two weeks ago and I experienced chills that same evening when I went to bed. Woke up the next morning with body aches and a low grade fever. Tylenol seemed to take care of it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-27
- 2021-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 3 — day 21, dose 1
Symptoms: About a week ago I started having sinus drainage due to allergies. I have been help take care of my elderly father so I went and was tested to COVID. It was negative but thought I should it was worth mentioning. Still having some drainage.
Release 4 — day 7, dose 2
Systemic reaction (other): I had my shot two weeks ago and I experienced chills that same evening when I went to bed. Woke up the next morning with body aches and a low grade fever. Tylenol seemed to take care of it.
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 | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release