942-13539-96241
2 vaccinations
1 coded response
15 check-ins
1 free-text entry
1 call case
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 133 / NY
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-14
- 2021-02-21
-
2021-02-28
Survey response — day 35, dose 1MedDRA: Ageusia, Oropharyngeal pain, Pain, Pyrexia — Feeling: Fair · Be unable to workFree text: Body akes low grade fever lost of taste sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
-
2021-04-10
Dose 2 — Moderna
- 2021-04-23
- 2021-04-23
- 2021-04-24
- 2021-05-15
- 2021-05-22
- 2022-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-04-10 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 4 — day 35, dose 1
Symptoms: Body akes low grade fever lost of taste sore throat
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 | Ageusia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release