UY9-31450-30496
2 vaccinations
2 coded responses
18 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 554 / MN
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Registered in v-safe
-
2021-04-14
Dose 1 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Nausea, Abdominal painAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
-
2021-05-05
Survey response — day 21, dose 1MedDRA: Headache, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Cold (congestion, runny nose, headache, etc.) maybe a sinus infection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Dose 2 — Moderna
- 2021-05-19
- 2021-05-28
- 2021-06-02
- 2021-06-09
- 2021-06-17
- 2021-06-25
- 2021-08-11
-
2021-11-11
Survey response — 6 months, dose 2MedDRA: Middle ear effusion, Nasopharyngitis, Office visit, Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Cold/Sinus infection/fluid in ears · Healthcare visit (other): Minute clinicMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-11-12
Call successfulDoes not wish to fill out VAERS report
- 2022-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-11 | Successful 2021-11-12 |
Does not wish to fill out VAERS report |
Free text
Release 8 — day 21, dose 1
Symptoms: Cold (congestion, runny nose, headache, etc.) maybe a sinus infection.
Release 10 — 6 months, dose 2
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release