W4T-28503-51676
2 vaccinations
2 coded responses
3 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 968 / HI
- Registered
- 2021-09-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-07
Dose 1 — Moderna
-
2021-09-04
Dose 2 — Moderna
-
2021-09-13
Registered in v-safe
- 2021-09-13
-
2021-09-24
Survey response — day 14, dose 2MedDRA: Respiratory tract congestion, Sinus headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congestion and sinus headacheMedDRA releases: 2024-11 · check-in free text available
-
2021-09-25
Survey response — day 21, dose 2MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I tested positive for covid 19MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-07 | Moderna | No |
| 2 | 2021-09-04 | Moderna | No |
Free text
Release 9 — day 14, dose 2
Symptoms: Congestion and sinus headache
Release 9 — day 21, dose 2
Symptoms: I tested positive for covid 19
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 | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release