Y9X-11422-86242
5 vaccinations
8 coded responses
60 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 321 / FL
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
- 2021-03-17
- 2021-03-18
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: FairFree text: I had a definite runny nose lasting ~6-7 hrs then stopped suddenly w/o any intervention on my part. No other sx.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: runny nose began again today ~2hrs after waking, lasted ~3hrs then abrupt stopped. same as yesterday just not as long.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: again, runny nose began couple hours after waking, lasting throughout day today but less noticable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: once again, mild runny nose for only a few hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 7, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: again, mild (even less than yesterday) runny nose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-11-29
Dose 3 — Moderna
- 2021-12-01
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-28
- 2022-01-03
- 2022-01-10
- 2022-02-28
-
2022-05-01
Dose 4 — Moderna
- 2022-05-01
-
2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-15
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2022-05-22
Survey response — day 21, dose 4MedDRA: Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: 1st sx: sore throat 5/18/22, then congestion, headache and fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-29
- 2022-06-05
- 2022-06-12
- 2022-07-31
-
2022-09-19
Dose 5 — ModernaCo-administered: Flu
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
-
2022-10-03
Survey response — day 14, dose 5MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Sore throat, mild congestion X2 daysMedDRA releases: 2024-11 · check-in free text available
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2022-10-10
Survey response — day 21, dose 5MedDRA: Nasopharyngitis, Sinus disorder — Feeling: FairFree text: Random cold virus, primarily effecting sinuses.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-12-19
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-05-01 | Moderna | No |
| 5 | 2022-09-19 | Moderna | Flu |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I had a definite runny nose lasting ~6-7 hrs then stopped suddenly w/o any intervention on my part. No other sx.
Systemic reaction (other): runny nose began again today ~2hrs after waking, lasted ~3hrs then abrupt stopped. same as yesterday just not as long.
Systemic reaction (other): again, runny nose began couple hours after waking, lasting throughout day today but less noticable.
Systemic reaction (other): once again, mild runny nose for only a few hours.
Release 6 — day 7, dose 1
Systemic reaction (other): again, mild (even less than yesterday) runny nose.
Release 11 — day 21, dose 4
Symptoms: 1st sx: sore throat 5/18/22, then congestion, headache and fever.
Release 12 — day 14, dose 5
Symptoms: Sore throat, mild congestion X2 days
Release 12 — day 21, dose 5
Symptoms: Random cold virus, primarily effecting sinuses.
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 | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release