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392-50882-77548

3 vaccinations 1 coded response 15 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
660 / KS
Registered
2021-11-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-22
    Dose 2 — Moderna
  3. 2021-11-03
    Registered in v-safe
  4. 2021-11-03
    Dose 3 — Moderna
  5. 2021-11-03
    Survey response — day 0, dose 3
    MedDRA: Headache — Feeling: Fair · Site: Pain, Swelling
    Free text: Mild headache
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  10. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Headache, Nausea
    Adult check-in
  11. 2021-11-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-11-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-11-24
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  14. 2021-12-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-05-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-11-05
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna No
22021-04-22Moderna No
32021-11-03Moderna No

Free text

Release 10 — day 0, dose 3

2021-11-03

Systemic reaction (other): Mild headache

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
SROHeadache · · ✓

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