YLD-15341-11896
5 vaccinations
4 coded responses
63 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 070 / NJ
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-01-23
Registered in v-safe
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-30
- 2021-02-05
-
2021-02-14
Survey response — day 21, dose 1MedDRA: Eye disorder — Feeling: FairFree text: I have a problem with my eye ... maybe an infection. Feels like something is in my eye, but there is not. This may not be related in any way to covid. I will go to see my eye doctor this week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-20
Dose 2 — Moderna
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
-
2021-08-21
Survey response — 6 months, dose 2MedDRA: Cough, SARS-CoV-2 test positive, Upper-airway cough syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I tested positive for covid on 8/13/2021. I didn't have symptoms when I was tested. By that night I had mild symptoms that progressed a bit throughout the week. Its now 8/21 & I still have bad post nasal drip and a cough.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-12-01
Dose 3 — Moderna
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Sinus congestion — Feeling: Good · Site: PainFree text: Minor sinus congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Sinus congestion — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Mild sinus congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-07
- 2022-01-12
- 2022-03-02
- 2022-06-01
-
2022-06-10
Dose 4 — Moderna
- 2022-06-10
-
2022-06-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-06-12
- 2022-06-13
- 2022-06-14
- 2022-06-15
- 2022-06-16
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-07-15
- 2022-07-22
- 2022-09-09
-
2022-10-25
Dose 5 — Moderna
- 2022-10-26
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2022-12-06
- 2023-01-24
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-06-10 | Moderna | No |
| 5 | 2022-10-25 | Moderna | No |
Free text
Release 4 — day 21, dose 1
Symptoms: I have a problem with my eye ... maybe an infection. Feels like something is in my eye, but there is not. This may not be related in any way to covid. I will go to see my eye doctor this week.
Release 9 — 6 months, dose 2
Symptoms: I tested positive for covid on 8/13/2021. I didn't have symptoms when I was tested. By that night I had mild symptoms that progressed a bit throughout the week. Its now 8/21 & I still have bad post nasal drip and a cough.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Minor sinus congestion
Systemic reaction (other): Mild sinus congestion
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 | Eye disorder | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | · | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release