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CGZ-37909-05304

3 vaccinations 1 coded response 8 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
606 / IL
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-02-09
    Registered in v-safe
  3. 2021-02-09
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-11
    Dose 2 — Moderna
  7. 2021-03-11
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Diarrhea, Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-10-26
    Dose 3 — Moderna
  11. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Free text: Congested
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-28
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-11Moderna
32021-10-26Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Congested

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

FieldPreferred term2021-092023-042024-11
SRORespiratory tract congestion · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release