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3XU-48861-12315

2 vaccinations 1 coded response 12 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
199 / DE
Registered
2021-08-18
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-18
    Registered in v-safe
  2. 2021-08-18
    Dose 1 — Moderna
  3. 2021-08-18
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-08-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-08-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-08-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-08-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-08-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Epistaxis — Feeling: Good
    Free text: Nose bleeds
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-25
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  10. 2021-09-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-09-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-09-15
    Dose 2 — Moderna
  13. 2021-09-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-10-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-10-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-18Moderna No
22021-09-15Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-24

Systemic reaction (other): Nose bleeds

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
SROEpistaxis ✓ · ✓

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

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