HCK-15156-75631
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 800 / CO
- Registered
- 2021-08-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-26
Registered in v-safe
-
2021-08-26
Dose 1 — Moderna
- 2021-08-26
-
2021-08-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Vomiting, DiarrheaAdult check-in
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-08-31
- 2021-09-01
- 2021-09-02
-
2021-09-09
Survey response — day 14, dose 1MedDRA: Ear pain, Headache, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore throat, stuffy/runny nose, slight headache and a little bit of pain in my left earMedDRA releases: 2024-11 · check-in free text available
- 2021-09-16
-
2021-09-27
Dose 2 — ModernaCo-administered: Flu
- 2021-09-30
-
2021-10-01
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · HeadacheFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Survey response — days 1–6 daily, dose 2MedDRA: Throat irritation — Feeling: Good · HeadacheFree text: Itchy throatMedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Fever · Headache, Fatigue or tirednessFree text: Sore throat, earacheMedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-26 | Moderna | No |
| 2 | 2021-09-27 | Moderna | Flu |
Free text
Release 9 — day 14, dose 1
Symptoms: Sore throat, stuffy/runny nose, slight headache and a little bit of pain in my left ear
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Systemic reaction (other): Itchy throat
Systemic reaction (other): Sore throat, earache
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 | Ear pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release