734-18654-55291
3 vaccinations
2 coded responses
9 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 275 / NC
- Registered
- 2021-06-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Dose 1 — Moderna
-
2021-05-19
Dose 2 — Moderna
-
2021-06-10
Registered in v-safe
- 2021-06-10
- 2021-06-16
- 2021-06-23
- 2021-06-30
-
2021-08-18
Survey response — 3 months, dose 2MedDRA: Dizziness, Headache, Nausea — Feeling: FairFree text: Nausea, dizziness and headachesMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-17
-
2021-12-22
Dose 3 — Moderna
- 2022-05-19
- 2022-06-22
-
2022-12-22
Survey response — 12 months, dose 3MedDRA: COVID-19, Cough, Exposure to SARS-CoV-2, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid + 12/22, full head congestion, stuffy nose, sore throat, dry cough, feels like a cold and wouldn't have thought to test except had contact with a + friendMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-19 | Moderna | |
| 3 | 2021-12-22 | Moderna | No |
Free text
Release 9 — 3 months, dose 2
Symptoms: Nausea, dizziness and headaches
Release 12 — 12 months, dose 3
Symptoms: Covid + 12/22, full head congestion, stuffy nose, sore throat, dry cough, feels like a cold and wouldn't have thought to test except had contact with a + friend
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 | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release