SYF-16089-48837
1 vaccination
1 coded response
3 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 009 / PR
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Rash, not including the immediate area around the injection site · Be unable to workAdult check-in
- 2021-02-11
- 2021-02-14
-
2021-08-11
Survey response — 6 months, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: CongestiónMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-11
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
-
2021-08-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 9 — 6 months, dose 1
Symptoms: Congestión
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 | Respiratory tract congestion | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release