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3XM-29578-91275

2 vaccinations 3 coded responses 14 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
030 / NH
Registered
2021-06-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-14
    Dose 1 — Moderna
  2. 2021-06-11
    Registered in v-safe
  3. 2021-06-11
    Dose 2 — Moderna
  4. 2021-06-11
    Survey response — day 0, dose 2
    MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Fatigue might not be from the shot though
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-06-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Nausea
    Adult check-in
  7. 2021-06-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  8. 2021-06-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-06-20
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-06-25
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-07-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-07-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-12-10
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Good
    Free text: A cold
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-06-13
    Survey response — 12 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Good
    Free text: Colds
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-14Moderna
22021-06-11Moderna

Free text

Release 9 — day 0, dose 2

2021-06-11

Systemic reaction (other): Fatigue might not be from the shot though

Release 10 — 6 months, dose 2

2021-12-10

Symptoms: A cold

Release 12 — 12 months, dose 2

2022-06-13

Symptoms: Colds

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 · · ✓
SROFatigue ✓ ✓ ✓

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