5JJ-20654-13375
5 vaccinations
7 coded responses
46 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 173 / PA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Hypersensitivity, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: GoodFree text: Mild sore throat probably tied to allergy post nasal drip.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Immediate post-injection reaction, Sinus congestion, Therapeutic response unexpected — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Immediately after both shots my normal sinus congestion (allergies?)cleared upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-04-01
Survey response — day 21, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Slight runny nose. Likely allergies to spring plantsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-11
-
2021-10-22
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 42, dose 3MedDRA: Cough, Nasal congestion — Feeling: GoodFree text: Mild cough and nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
- 2022-04-22
-
2022-05-07
Dose 4 — Moderna
- 2022-05-18
- 2022-05-21
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-06-18
- 2022-08-06
-
2022-09-09
Dose 5 — ModernaCo-administered: Flu
-
2022-09-25
Survey response — day 14, dose 5MedDRA: Body temperature increased, Oropharyngeal pain, Pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Sniffles, less than one degree F fever, general aches mild sore throat, Two negative Covid testsMedDRA releases: 2024-11 · check-in free text available
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2022-09-30
Survey response — day 21, dose 5MedDRA: Nasal congestion, Oropharyngeal pain, Pain, SARS-CoV-2 test negative — Feeling: FairFree text: Very mild sore throat, and intermittent nasal congestion and general ache. May be seasonal pollen allergy and post nasal drip but more than i have most years. Two negative covid tests.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-07
- 2022-10-14
- 2022-10-21
-
2022-12-09
Survey response — 3 months, dose 5MedDRA: Headache, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, congestion, general body ache, headache. Positive Covid test.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-05-07 | Moderna | No |
| 5 | 2022-09-09 | Moderna | Flu |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mild sore throat probably tied to allergy post nasal drip.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Immediately after both shots my normal sinus congestion (allergies?)cleared up
Release 6 — day 21, dose 2
Symptoms: Slight runny nose. Likely allergies to spring plants
Release 10 — day 42, dose 3
Symptoms: Mild cough and nasal congestion
Release 12 — day 14, dose 5
Symptoms: Sniffles, less than one degree F fever, general aches mild sore throat, Two negative Covid tests
Release 12 — day 21, dose 5
Symptoms: Very mild sore throat, and intermittent nasal congestion and general ache. May be seasonal pollen allergy and post nasal drip but more than i have most years. Two negative covid tests.
Release 12 — 3 months, dose 5
Symptoms: Sore throat, congestion, general body ache, headache. Positive Covid test.
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 | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ○ | ✓ | ○ |
| SRO | Therapeutic response unexpected | ✓ | · | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release