JD7-29105-52789
2 vaccinations
2 coded responses
17 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 223 / VA
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-21
Dose 1 — Moderna
-
2021-04-22
Registered in v-safe
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-27
- 2021-04-28
-
2021-05-05
Survey response — day 14, dose 1MedDRA: COVID-19, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test — Feeling: FairFree text: A cold - potentially unrelated? Symptoms included nasal and chest congestion, sore throat, headaches. Symptoms lessened after 2 days but I have gotten a COVID test as a precaution and am awaiting resultsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-19
-
2021-05-21
Dose 2 — Moderna
-
2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Syncope — Feeling: GoodFree text: Fainted day after vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
- 2021-06-11
- 2021-06-20
- 2021-06-25
- 2021-07-02
- 2021-08-20
- 2021-11-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Free text
Release 8 — day 14, dose 1
Symptoms: A cold - potentially unrelated? Symptoms included nasal and chest congestion, sore throat, headaches. Symptoms lessened after 2 days but I have gotten a COVID test as a precaution and am awaiting results
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Fainted day after vaccination
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 | COVID-19 | ✓ | ✓ | ○ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release