S4B-21368-10813
4 vaccinations
3 coded responses
37 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 841 / UT
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-11
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-08
-
2021-08-07
Survey response — 6 months, dose 2MedDRA: Anosmia, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Loss of smell, other cold like symptoms.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-23
Dose 3 — Moderna
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-25
- 2021-10-26
- 2021-11-06
- 2021-11-13
- 2021-11-29
- 2021-12-04
-
2022-01-22
Survey response — 3 months, dose 3MedDRA: Gastroenteritis viral, Pyrexia, Vomiting projectile — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stomach flu - projectile vomiting and fever for 24 hours.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
-
2022-10-12
Dose 4 — Other-UnknownCo-administered: Flu
-
2022-10-12
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-10-14
- 2022-10-15
- 2022-10-28
-
2023-04-12
Survey response — 6 months, dose 4MedDRA: Cough, Fatigue, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-10-12 | Other-Unknown | Flu |
Free text
Release 9 — 6 months, dose 2
Symptoms: Loss of smell, other cold like symptoms.
Release 11 — 3 months, dose 3
Symptoms: Stomach flu - projectile vomiting and fever for 24 hours.
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 | Anosmia | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting projectile | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release