D6R-11712-04206
3 vaccinations
3 coded responses
33 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 890 / NV
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
-
2021-01-06
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal painAdult check-in
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-20
- 2021-01-29
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Mild dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-06
- 2021-02-08
- 2021-02-10
- 2021-02-18
- 2021-02-26
- 2021-03-10
- 2021-03-19
- 2021-05-05
- 2021-08-04
-
2021-10-01
Dose 3 — Moderna
- 2021-10-01
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-05
- 2021-10-06
- 2021-10-08
- 2021-10-17
- 2021-10-24
- 2021-10-29
- 2021-11-06
- 2021-11-14
- 2021-12-31
-
2022-04-03
Survey response — 6 months, dose 3MedDRA: Feeling hot, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sore throat, increased congestion, fever-ish (but no fever). Covid test is pending.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Survey response — 12 months, dose 3MedDRA: Cough, Dyspnoea exertional, Pre-existing disease — Feeling: Good · Be unable to work or attend schoolFree text: Post COVID infxn: Persistent cough and more eadily SOB with activityMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-10-01 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Mild dizziness
Release 11 — 6 months, dose 3
Symptoms: Sore throat, increased congestion, fever-ish (but no fever). Covid test is pending.
Release 12 — 12 months, dose 3
Symptoms: Post COVID infxn: Persistent cough and more eadily SOB with activity
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 | Cough | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release