V2S-76062-44115
4 vaccinations
4 coded responses
30 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Balance disorder, Dizziness, Nasal congestion, Sneezing — Feeling: GoodFree text: Sneezing/stuffy nose and dizziness/balance issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-02-03
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body achesAdult check-in
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Dizziness — Feeling: Good · HeadacheFree text: Dizziness/off balanceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Dizziness — Feeling: Fair · Site: Pain · HeadacheFree text: Dizziness/ off balanceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-20
-
2021-02-25
Survey response — day 21, dose 2MedDRA: Chest discomfort — Feeling: GoodFree text: Chest tightness after work possibly due to double maskingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-05-08
-
2021-11-15
Dose 3 — Moderna
-
2022-09-26
Dose 4 — ModernaCo-administered: Flu
- 2022-09-26
-
2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Abdominal painAdult check-in
- 2022-09-29
- 2022-10-01
- 2022-12-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-09-26 | Moderna | Flu |
Free text
Release 2 — day 14, dose 1
Symptoms: Sneezing/stuffy nose and dizziness/balance issues
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness/off balance
Systemic reaction (other): Dizziness/ off balance
Release 4 — day 21, dose 2
Symptoms: Chest tightness after work possibly due to double masking
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 | Balance disorder | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release