64Q-25568-34638
1 vaccination
3 coded responses
10 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 847 / UT
- Registered
- 2021-07-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-09
Registered in v-safe
-
2021-07-09
Dose 1 — Moderna
- 2021-07-09
-
2021-07-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-07-11
-
2021-07-12
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion — Feeling: Fair · Fatigue or tirednessFree text: Stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-13
- 2021-07-14
- 2021-07-15
- 2021-07-16
-
2021-07-23
Survey response — day 14, dose 1MedDRA: Cough, Nasal congestion — Feeling: FairFree text: Stuffy, coughMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Survey response — day 21, dose 1MedDRA: Headache, Oropharyngeal pain — Feeling: FairFree text: Sore throat, headachesMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-09 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Stuffy nose
Release 9 — day 14, dose 1
Symptoms: Stuffy, cough
Release 9 — day 21, dose 1
Symptoms: Sore throat, headaches
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 | Nasal congestion | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release