K4A-25476-19429
3 vaccinations
1 coded response
30 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 130 / NY
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-29
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to workAdult check-in
- 2021-02-12
- 2021-02-14
- 2021-02-15
- 2021-02-19
- 2021-02-27
- 2021-03-05
- 2021-03-19
- 2021-03-24
- 2021-08-11
-
2021-11-10
Dose 3 — Moderna
-
2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend schoolAdult check-in
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend schoolAdult check-in
-
2021-11-17
Health check-in — day 7, dose 3Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-24
- 2021-12-03
- 2021-12-10
-
2021-12-15
Survey response — day 35, dose 3MedDRA: Diarrhoea, Fatigue, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Head hurts, diarrhea, throat hurts, exhaustedMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2022-02-11
- 2022-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
Free text
Release 10 — day 35, dose 3
Symptoms: Head hurts, diarrhea, throat hurts, exhausted
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 | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release