XEP-11289-63855
4 vaccinations
3 coded responses
52 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 647 / MO
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-02
Dose 2 — Moderna
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: GoodFree text: Left ear painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-11
- 2021-03-16
- 2021-05-04
- 2021-08-03
-
2021-11-15
Dose 3 — Moderna
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, HeadacheAdult check-in
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-02-14
- 2022-05-19
-
2022-11-18
Dose 4 — Pfizer-BioNTech
- 2022-11-18
- 2022-11-18
-
2022-11-19
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fever · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-11-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-23
- 2022-11-25
- 2022-12-04
-
2022-12-09
Survey response — day 21, dose 4MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have a cold, sinus pressure, congestion, sore throat, and a terrible cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-19
- 2022-12-24
- 2023-01-01
- 2023-02-17
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-11-18 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Left ear pain
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Fatigue
Release 12 — day 21, dose 4
Symptoms: I have a cold, sinus pressure, congestion, sore throat, and a terrible cough.
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 | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release