SXQ-23673-38119
2 vaccinations
3 coded responses
10 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 806 / CO
- Registered
- 2021-08-07
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-07-29
Dose 1 — Moderna
-
2021-08-07
Registered in v-safe
-
2021-08-07
Survey response — day 7, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Pain at injection site lasting 3 daysMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-12
Survey response — day 14, dose 1MedDRA: Nasal congestion, Secretion discharge — Feeling: GoodFree text: Nasal congestion and mucusMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-19
-
2021-08-26
Dose 2 — Moderna
-
2021-08-26
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-08-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-08-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-09-09
-
2021-09-16
Survey response — day 21, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Worsening headachesMedDRA releases: 2024-11 · check-in free text available
- 2021-09-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-29 | Moderna | No |
| 2 | 2021-08-26 | Moderna | No |
Free text
Release 9 — day 7, dose 1
Systemic reaction (other): Pain at injection site lasting 3 days
Release 9 — day 14, dose 1
Symptoms: Nasal congestion and mucus
Release 9 — day 21, dose 2
Symptoms: Worsening headaches
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 | Headache | · | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Secretion discharge | ✓ | · | ✓ |
| SRO | Injection site pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release