HS8-19031-04801
3 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 190 / PA
- Registered
- 2021-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-02-03
Dose 2 — Moderna
-
2021-12-20
Dose 3 — Moderna
-
2021-12-21
Registered in v-safe
-
2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2021-12-27
-
2022-01-03
Survey response — day 14, dose 3MedDRA: Nasal congestion, Nasal obstruction, Paranasal sinus discomfort, SARS-CoV-2 test negative, Sinus pain, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I was started on an antibiotic today for a sinus infection. Left sided frontal and maxillary sinus pain / pressure with nasal congestion / blockage. NO fever, cough, body aches, or chills. Tested negative for COVID-19.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-03
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-06
- 2022-01-11
- 2022-01-12
- 2022-01-19
- 2022-01-24
- 2022-01-31
- 2022-03-21
- 2022-06-20
-
2022-12-20
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend schoolFree text: Recurrent head colds / URIMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | No |
| 2 | 2021-02-03 | Moderna | No |
| 3 | 2021-12-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 14, dose 3
Symptoms: I was started on an antibiotic today for a sinus infection. Left sided frontal and maxillary sinus pain / pressure with nasal congestion / blockage. NO fever, cough, body aches, or chills. Tested negative for COVID-19.
Release 12 — 12 months, dose 3
Symptoms: Recurrent head colds / URI
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 | Nasal congestion | · | · | ✓ |
| SD | Nasal obstruction | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release