N2L-89107-53391
4 vaccinations
4 coded responses
19 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 945 / CA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
4VN-17713-45313
Child or adolescent in my care · Female · 2022-09-27
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
- 2021-01-18
- 2021-01-19
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-23
- 2021-01-30
- 2021-02-06
-
2021-02-13
Dose 2 — Moderna
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
- 2021-02-17
- 2021-02-22
-
2021-03-03
Survey response — day 14, dose 2MedDRA: Sinus congestion — Feeling: FairFree text: Sinus congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — day 21, dose 2MedDRA: Pyrexia, Sinus congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Sinus congestion and feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-29
- 2021-05-16
-
2021-11-06
Dose 3 — Moderna
-
2022-05-07
Survey response — 6 months, dose 3MedDRA: Wheezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: WheezingMedDRA releases: 2024-11 · check-in free text available
-
2022-09-19
Dose 4 — Pfizer-BioNTech
- 2022-09-27
-
2022-10-12
Survey response — day 21, dose 4MedDRA: Rhinorrhoea — Feeling: FairFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-09-19 | Pfizer-BioNTech | No |
Free text
Release 5 — day 14, dose 2
Symptoms: Sinus congestion
Release 5 — day 21, dose 2
Symptoms: Sinus congestion and fever
Release 11 — 6 months, dose 3
Symptoms: Wheezing
Release 12 — day 21, dose 4
Symptoms: Runny nose
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 | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release