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N5Y-32471-02818

3 vaccinations 6 coded responses 9 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
145 / NY
Registered
2021-12-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Dose 1 — Moderna
  2. 2021-01-26
    Dose 2 — Moderna
  3. 2021-12-06
    Registered in v-safe
  4. 2021-12-06
    Dose 3 — Moderna
  5. 2021-12-06
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-12-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Free text: Stuffy nose and sore throat
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Ageusia, Anosmia, Cough, Nasal congestion, Rhinorrhoea, Sneezing — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Stuffy runny nose, sneezing, cough. Loss of taste and smell
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-12-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Ageusia, Anosmia, Nasal congestion — Feeling: Fair · Fatigue or tiredness
    Free text: Stuffy nose, loss of taste and smell
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-12-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness
    Free text: Congestion
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness
    Free text: Congestion, cough
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-13
    Survey response — day 7, dose 3
    MedDRA: Cough — Feeling: Good · Fatigue or tiredness
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna No
22021-01-26Moderna No
32021-12-06Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Stuffy nose and sore throat

2021-12-09

Systemic reaction (other): Stuffy runny nose, sneezing, cough. Loss of taste and smell

2021-12-10

Systemic reaction (other): Stuffy nose, loss of taste and smell

2021-12-11

Systemic reaction (other): Congestion

2021-12-12

Systemic reaction (other): Congestion, cough

Release 10 — day 7, dose 3

2021-12-13

Systemic reaction (other): Cough

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

FieldPreferred term2021-092023-042024-11
SROAgeusia · · ✓
SROAnosmia · · ✓
SROCough · · ✓
SRONasal congestion · · ✓
SROOropharyngeal pain · · ✓
SRORespiratory tract congestion · · ✓
SRORhinorrhoea · · ✓
SROSneezing · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release