BTV-19665-73394
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 563 / MN
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Registered in v-safe
-
2021-04-14
Dose 1 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
-
2021-04-21
Survey response — day 7, dose 1MedDRA: Multiple allergies — Feeling: FairFree text: AllergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — day 14, dose 1MedDRA: Eye irritation, Oropharyngeal pain, Rhinorrhoea, Sinus congestion — Feeling: FairFree text: Sinus congestion. Runny nose. Sore throat. Scratch eyes. AllergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — day 21, dose 1MedDRA: Headache — Feeling: FairFree text: Headache goes from back of neck to forehead left side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Dose 2 — Moderna
- 2021-05-12
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-19
- 2021-05-28
-
2021-06-04
Survey response — day 21, dose 2MedDRA: Pregnancy — Feeling: FairFree text: My period is 2 weeks late. Im 34 years old and not pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-16
-
2021-06-23
Survey response — day 42, dose 2MedDRA: Sinusitis — Feeling: Good · Be unable to work or attend schoolFree text: Sinus infection that has lingered for 3 months.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-12 | Moderna |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Allergies
Release 8 — day 14, dose 1
Symptoms: Sinus congestion. Runny nose. Sore throat. Scratch eyes. Allergies
Release 8 — day 21, dose 1
Symptoms: Headache goes from back of neck to forehead left side.
Release 8 — day 21, dose 2
Symptoms: My period is 2 weeks late. Im 34 years old and not pregnant.
Release 9 — day 42, dose 2
Symptoms: Sinus infection that has lingered for 3 months.
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 | Eye irritation | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Multiple allergies | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release