W4F-29282-89068
2 vaccinations
2 coded responses
12 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 681 / NE
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, NauseaAdult check-in
- 2021-01-15
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Dyschromatopsia — Feeling: FairFree text: Vision changesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-21
- 2021-01-29
-
2021-03-22
Dose 2 — Moderna
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-22
-
2022-03-22
Survey response — 12 months, dose 2MedDRA: Back pain, Cough, Diarrhoea, Dizziness, Fatigue, Headache, Nausea, Oropharyngeal pain, Palpitations, Pyrexia, Sinus congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fatigue, dizziness, fever, heart palpitations, sinus congestion, sore throat, cough, headache, back pain, diarrhea and nauseaMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-03-22 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Vision changes
Release 11 — 12 months, dose 2
Symptoms: Fatigue, dizziness, fever, heart palpitations, sinus congestion, sore throat, cough, headache, back pain, diarrhea and nausea
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 | Back pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Dyschromatopsia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release