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3LV-20465-59205

4 vaccinations 1 coded response 20 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
440 / OH
Registered
2021-04-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
283-10075-18868 Child or adolescent in my care · Male · 2022-11-27
HHK-33132-00668 Child or adolescent in my care · Female · 2022-11-27

Timeline

  1. 2021-03-19
    Dose 1 — Moderna
  2. 2021-04-01
    Registered in v-safe
  3. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-16
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-04-24
    Dose 2 — Moderna
  8. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  10. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-12-17
    Dose 3 — Moderna
  23. 2022-04-26
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  24. 2022-10-14
    Dose 4 — Moderna
    Co-administered: Flu
  25. 2022-11-27
    Survey response — day 42, dose 4
    MedDRA: Nasopharyngitis, Unevaluable event — Feeling: Fair
    Free text: Cold/sinuses
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Moderna
22021-04-24Moderna
32021-12-17Moderna No
42022-10-14Moderna Flu

Free text

Release 12 — day 42, dose 4

2022-11-27

Symptoms: Cold/sinuses

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
SDNasopharyngitis · · ✓
SDUnevaluable event · · ✓

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

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