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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

  1. 2021-08-07
    Dose 1 — Moderna
  2. 2021-09-04
    Dose 2 — Moderna
  3. 2021-09-13
    Registered in v-safe
  4. 2021-09-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-09-24
    Survey response — day 14, dose 2
    MedDRA: Respiratory tract congestion, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Congestion and sinus headache
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-09-25
    Survey response — day 21, dose 2
    MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I tested positive for covid 19
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-07Moderna No
22021-09-04Moderna No

Free text

Release 9 — day 14, dose 2

2021-09-24

Symptoms: Congestion and sinus headache

Release 9 — day 21, dose 2

2021-09-25

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

FieldPreferred term2021-092023-042024-11
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test positive · · ✓
SDSinus headache · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release