9MK-32283-01411
4 vaccinations
3 coded responses
34 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 080 / NJ
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-02-14
Registered in v-safe
-
2021-02-14
Dose 1 — Moderna
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Site: PainFree text: Mild sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-18
- 2021-02-20
- 2021-02-21
-
2021-02-28
Survey response — day 14, dose 1MedDRA: Ear infection, SARS-CoV-2 test negative, Sinusitis — Feeling: FairFree text: Ear/sinus infection. Tested negative for C19 virus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
-
2021-03-14
Dose 2 — Moderna
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-28
- 2021-04-05
- 2021-04-11
- 2021-04-18
- 2021-04-25
- 2021-06-13
- 2021-09-12
-
2021-12-20
Dose 3 — Moderna
- 2022-03-16
-
2022-10-02
Dose 4 — Pfizer-BioNTech
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-16
-
2022-10-23
Survey response — day 21, dose 4MedDRA: Ear pain, Influenza like illness, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test, Sinus congestion, Sinusitis, Sneezing, Toothache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold/flu like -. Left Ear pain followed by sore throat then lots of sneezing then sinus congestion then chest congestion then back to sinus congestion, tooth pain, and mild sinus infection left nasal sinus. Started 10/16. 4 (-) C19 home tests.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2022-11-06
- 2022-11-13
- 2023-01-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Moderna | |
| 2 | 2021-03-14 | Moderna | |
| 3 | 2021-12-20 | Moderna | No |
| 4 | 2022-10-02 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mild sore throat.
Release 4 — day 14, dose 1
Symptoms: Ear/sinus infection. Tested negative for C19 virus.
Release 12 — day 21, dose 4
Symptoms: Cold/flu like -. Left Ear pain followed by sore throat then lots of sneezing then sinus congestion then chest congestion then back to sinus congestion, tooth pain, and mild sinus infection left nasal sinus. Started 10/16. 4 (-) C19 home tests.
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 | Ear infection | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Toothache | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release