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3BK-87345-81164

3 vaccinations 5 coded responses 19 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
088 / NJ
Registered
2021-01-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
YBL-24227-57736 Child or adolescent in my care · Male · 2022-08-02

Timeline

  1. 2021-01-21
    Dose 1 — Moderna
  2. 2021-01-30
    Registered in v-safe
  3. 2021-01-30
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Redness, Swelling, Itching · None
    Adult check-in
  4. 2021-02-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-17
    Dose 2 — Moderna
  7. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dehydration, Dizziness, Dry mouth, Hyperhidrosis, Nasal congestion, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Dizziness, sweats, dehydration, sore throat, stuffy nose, dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dehydration, Dry mouth — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Dehydrated, dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Thirst — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches
    Free text: Thirsty
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Neck pain — Feeling: Good · Headache, Muscle or body aches
    Free text: Neck pain!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-12-22
    Dose 3 — Moderna
  22. 2022-02-17
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Impaired work ability, Oropharyngeal pain, Pregnancy, Rhinorrhoea — Feeling: Good · Be unable to work or attend school
    Free text: Runny nose, sore throat - COVID positive on 1/10/22. I didn't physically attend work due to the positive test but worked remotely instead. Didn't last long at all, 3-5days. I was boostered on 12/21/21. I'm also pregnant with twins, due 5/18.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-12-22
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-17Moderna
32021-12-22Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Dizziness, sweats, dehydration, sore throat, stuffy nose, dry mouth

2021-02-19

Systemic reaction (other): Dehydrated, dry mouth

2021-02-20

Systemic reaction (other): Thirsty

2021-02-21

Systemic reaction (other): Neck pain!

Release 11 — 12 months, dose 2

2022-02-17

Symptoms: Runny nose, sore throat - COVID positive on 1/10/22. I didn't physically attend work due to the positive test but worked remotely instead. Didn't last long at all, 3-5days. I was boostered on 12/21/21. I'm also pregnant with twins, due 5/18.

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
SDCOVID-19 · · ✓
SDImpaired work ability · · ✓
SDOropharyngeal pain · · ✓
SDPregnancy · · ✓
SDRhinorrhoea · · ✓
SRODehydration ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROThirst ✓ ✓ ✓

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

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