PQX-93784-20259
4 vaccinations
4 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 550 / MN
- Registered
- 2021-11-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-02-19
Dose 2 — Moderna
-
2021-11-05
Registered in v-safe
-
2021-11-05
Dose 3 — Moderna
- 2021-11-05
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-19
-
2021-11-26
Survey response — day 21, dose 3MedDRA: Headache — Feeling: FairFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-10
- 2021-12-19
- 2022-02-04
- 2022-05-06
-
2022-09-20
Dose 4 — Moderna
- 2022-10-06
- 2022-10-11
- 2022-10-18
-
2022-10-25
Survey response — day 35, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Supraclavicular lymphadenopathyMedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Survey response — day 42, dose 4MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Cough and congestion - nasal and chestMedDRA releases: 2024-11 · check-in free text available
- 2022-12-22
-
2023-03-21
Survey response — 6 months, dose 4MedDRA: Abdominal pain lower, Lower urinary tract symptoms — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-21
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | No |
| 2 | 2021-02-19 | Moderna | No |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-09-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 10 — day 21, dose 3
Symptoms: Headache
Release 12 — day 35, dose 4
Symptoms: Supraclavicular lymphadenopathy
Release 12 — day 42, dose 4
Symptoms: Cough and congestion - nasal and chest
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 | Abdominal pain lower | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lower urinary tract symptoms | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release