8N9-62170-90936
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 656 / MO
- Registered
- 2021-08-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-21
Registered in v-safe
-
2021-08-21
Dose 1 — Moderna
-
2021-08-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-08-23
- 2021-08-24
- 2021-08-25
- 2021-08-27
- 2021-08-28
- 2021-09-04
- 2021-09-11
-
2021-09-18
Dose 2 — Moderna
- 2021-09-22
- 2021-09-23
- 2021-09-24
- 2021-09-25
- 2021-10-02
-
2021-10-09
Survey response — day 21, dose 2MedDRA: Hypotension — Feeling: Good · Be unable to do your normal daily activitiesFree text: Low blood pressureMedDRA releases: 2024-11 · check-in free text available
- 2021-10-16
-
2021-10-23
Survey response — day 35, dose 2MedDRA: Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, sore throat, post nasal drip and congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — day 42, dose 2MedDRA: Conjunctivitis, Cough, Rash, Respiratory tract congestion, Swelling face — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pink eye and a rash/swelling on one side of my face, cough and congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-18
- 2022-03-19
- 2022-09-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-21 | Moderna | No |
| 2 | 2021-09-18 | Moderna | No |
Free text
Release 10 — day 21, dose 2
Symptoms: Low blood pressure
Release 10 — day 35, dose 2
Symptoms: Fever, sore throat, post nasal drip and congestion
Release 10 — day 42, dose 2
Symptoms: Pink eye and a rash/swelling on one side of my face, cough and congestion
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 | Conjunctivitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Hypotension | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Swelling face | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release