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226-11616-00833

2 vaccinations 1 coded response 18 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
148 / NY
Registered
2021-02-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
4NJ-42125-29908 Child or adolescent in my care · Male · 2022-06-27

Timeline

  1. 2021-02-15
    Dose 1 — Moderna
  2. 2021-02-26
    Registered in v-safe
  3. 2021-02-26
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-01
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-08
    Survey response — 21 day, dose 1
    MedDRA: Injection site erythema, Injection site rash — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-03-15
    Dose 2 — Moderna
  7. 2021-03-15
    Health check-in — 0 day, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  10. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  11. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  12. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  13. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  14. 2021-03-22
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-29
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-05
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-12
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-19
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-26
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-14
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-13
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-15Moderna
22021-03-15Moderna

Free text

Release 5

Symptoms: Large red rash on arm around injection site.

Free-text releases are not linked to a specific 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
SDInjection site erythema ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓

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

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