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257-78251-39809

3 vaccinations 1 coded response 9 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
530 / WI
Registered
2021-04-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-23
    Dose 2 — Moderna
  3. 2021-04-26
    Registered in v-safe
  4. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling · None
    Adult check-in
  5. 2021-10-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-11-04
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  7. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-12-09
    Survey response — day 35, dose 3
    MedDRA: Lacrimation increased, Respiratory tract congestion, Rhinorrhoea — Feeling: Good
    Free text: Congestion, runny nose, and teary eyes
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  12. 2022-02-05
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  13. 2022-05-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-23Moderna
32021-11-04Pfizer-BioNTech Flu

Free text

Release 10 — day 35, dose 3

2021-12-09

Symptoms: Congestion, runny nose, and teary eyes

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
SDLacrimation increased · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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