3BU-23444-37046
1 vaccination
5 coded responses
10 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 303 / GA
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-13
Dose 1 — Moderna
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2021-02-14
Registered in v-safe
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: My answers have all been about my SECOND DOSE, not my first. Second received on 02/13/2021 and first received on 01/15/2021. Vsafe does not allow me to correct that on my profile.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Muscle or body achesFree text: This report is for mr SECOND DOSE OF THE VACCINE.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: ItchingFree text: These reports are for my SECOND DOSE of the vaccine received on 02/13/2021. First dose was received on 01/15/2021 and sore arm for a few days was the only side effect.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Itching · HeadacheFree text: These answers all have to do to my SECOND DOSE received 02/13/2021. First dose was received 01/15/2021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-06
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2022-02-13
Survey response — 12 months, dose 1MedDRA: Back pain, Oropharyngeal pain — Feeling: GoodFree text: Sore throat BackacheMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): My answers have all been about my SECOND DOSE, not my first. Second received on 02/13/2021 and first received on 01/15/2021. Vsafe does not allow me to correct that on my profile.
Systemic reaction (other): This report is for mr SECOND DOSE OF THE VACCINE.
Systemic reaction (other): These reports are for my SECOND DOSE of the vaccine received on 02/13/2021. First dose was received on 01/15/2021 and sore arm for a few days was the only side effect.
Release 4 — day 7, dose 1
Systemic reaction (other): These answers all have to do to my SECOND DOSE received 02/13/2021. First dose was received 01/15/2021.
Release 11 — 12 months, dose 1
Symptoms: Sore throat Backache
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Back pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release