FWS-25722-07326
1 vaccination
4 coded responses
13 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, NauseaAdult check-in
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Nausea, Paranasal sinus discomfort, Sinus headache — Feeling: Fair · HeadacheFree text: Sinus pressure/headache, dizziness, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Itching all over arms and face for a couple hours last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-30
- 2021-02-06
- 2021-02-11
- 2021-04-15
-
2021-07-15
Survey response — 6 months, dose 1MedDRA: Nasopharyngitis — Feeling: FairFree text: Head cold twiceMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-01-17
Survey response — 12 months, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sinus pressure/headache, dizziness, nausea
Systemic reaction (other): Itching all over arms and face for a couple hours last night.
Release 9 — 6 months, dose 1
Symptoms: Head cold twice
Release 10 — 12 months, dose 1
Symptoms: Pregnancy
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 | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Sinus headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release