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2DU-15361-88179

3 vaccinations 4 coded responses 40 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
775 / TX
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino
Registered dependents
AK8-19372-65815 Child or adolescent in my care · Male · 2021-11-17
C4U-20844-89778 Child or adolescent in my care · Female · 2021-11-17

Timeline

  1. 2021-01-23
    Registered in v-safe
  2. 2021-01-23
    Dose 1 — Moderna
  3. 2021-01-23
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-20
    Health check-in — day 28, dose 1
    Feeling: Poor
    Adult check-in
  14. 2021-02-26
    Dose 2 — Moderna
  15. 2021-02-26
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  19. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  20. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-03-12
    Survey response — day 14, dose 2
    MedDRA: Anxiety, Constipation, Dry mouth, Pruritus, Rhinorrhoea — Feeling: Good
    Free text: Constipation, itching all over, runny nose, dry mouth, anxiety. All mild symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-19
    Survey response — day 21, dose 2
    MedDRA: Decreased appetite, Decreased interest, Hypoaesthesia, Peripheral swelling, Pyrexia, Swelling, Swelling face — Feeling: Good
    Free text: Loss of appetite, disinterested, right side swollen (arm, leg, face, neck). Face & neck on right side have numbness, it's getting better now. No desire to drink anything. Feverish, but can't log a temp.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-26
    Survey response — day 28, dose 2
    MedDRA: Constipation, Feeling hot, Restlessness — Feeling: Good
    Free text: Same symptoms of feeling feverish, restlessness at night, some constipation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-09
    Survey response — day 42, dose 2
    MedDRA: Pyrexia — Feeling: Good
    Free text: Still feeling feverish at times, but not bad enough to take medication for.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-05-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-08-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-11-16
    Dose 3 — Moderna
  31. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches
    Adult check-in
  32. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  33. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  35. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-24
    Health check-in — day 7, dose 3
    Feeling: Good · Headache
    Adult check-in
  37. 2021-11-30
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-14
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-21
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-28
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-05-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-11-16
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Moderna
22021-02-26Moderna
32021-11-16Moderna No

Free text

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Constipation, itching all over, runny nose, dry mouth, anxiety. All mild symptoms.

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Loss of appetite, disinterested, right side swollen (arm, leg, face, neck). Face & neck on right side have numbness, it's getting better now. No desire to drink anything. Feverish, but can't log a temp.

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Same symptoms of feeling feverish, restlessness at night, some constipation

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Still feeling feverish at times, but not bad enough to take medication for.

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
SDAnxiety ✓ ✓ ✓
SDConstipation ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDDecreased interest ✓ ✓ ✓
SDDry mouth ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRestlessness ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SDSwelling face ✓ ✓ ✓

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

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