E3Q-15121-16030
1 vaccination
4 coded responses
11 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 480 / MI
- Registered
- 2021-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-18
Registered in v-safe
-
2021-04-18
Dose 1 — Moderna
- 2021-04-19
-
2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Frequent bowel movements — Feeling: Good · Site: PainFree text: No diarrhea but more frequent smaller bowl movementsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
-
2021-05-02
Survey response — day 14, dose 1MedDRA: Cough, Croup infectious, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to workFree text: Cough, congestion, sore throat, low grade fever - may have caught Respiratory virus from young son who had croupMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-07-18
-
2021-10-17
Survey response — 6 months, dose 1MedDRA: Cough, Dysphonia, Headache, Oropharyngeal pain, Rhinorrhoea, Throat irritation — Feeling: Good · Be unable to work or attend schoolFree text: Head ache, Rhinorrhea, sore throat, irritated throat, coughing, Horse voiceMedDRA releases: 2024-11 · check-in free text available
-
2022-04-18
Survey response — 12 months, dose 1MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Cough and congestionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-18 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): No diarrhea but more frequent smaller bowl movements
Release 8 — day 14, dose 1
Symptoms: Cough, congestion, sore throat, low grade fever - may have caught Respiratory virus from young son who had croup
Release 10 — 6 months, dose 1
Symptoms: Head ache, Rhinorrhea, sore throat, irritated throat, coughing, Horse voice
Release 11 — 12 months, dose 1
Symptoms: Cough and congestion
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 | Croup infectious | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Frequent bowel movements | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release