5JB-17596-24153
3 vaccinations
1 coded response
31 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 142 / NY
- Registered
- 2021-07-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-26
Dose 1 — Moderna
-
2021-07-29
Registered in v-safe
- 2021-07-29
- 2021-07-30
- 2021-08-02
- 2021-08-09
- 2021-08-18
-
2021-08-23
Dose 2 — Moderna
-
2021-08-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-08-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
- 2021-08-26
- 2021-08-27
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-09-06
- 2021-09-15
- 2021-09-22
- 2021-09-27
- 2021-10-06
- 2021-11-24
-
2022-02-01
Dose 3 — Moderna
- 2022-02-01
-
2022-02-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-02-05
- 2022-02-06
- 2022-02-07
- 2022-02-08
- 2022-02-15
- 2022-02-22
- 2022-03-03
- 2022-03-10
- 2022-03-15
- 2022-05-05
-
2022-08-04
Survey response — 6 months, dose 3MedDRA: Pyrexia, Respiratory tract congestion, Rhinorrhoea, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, runny nose, stuffy head/sinusesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-26 | Moderna | No |
| 2 | 2021-08-23 | Moderna | No |
| 3 | 2022-02-01 | Moderna | No |
Free text
Release 12 — 6 months, dose 3
Symptoms: Fever, runny nose, stuffy head/sinuses
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 | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release