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4BM-32453-70679

3 vaccinations 1 coded response 26 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
605 / IL
Registered
2021-03-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Dose 1 — Moderna
  2. 2021-03-14
    Registered in v-safe
  3. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-04-05
    Dose 2 — Moderna
  8. 2021-04-05
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  10. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  11. 2021-04-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety — Feeling: Good
    Free text: Anxiety
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  13. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  14. 2021-04-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-04
    Dose 3 — Pfizer-BioNTech
  20. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-11-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-11-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-11-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-12-09
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-02-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-05-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-05Moderna
32021-11-04Pfizer-BioNTech No

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Anxiety

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
SROAnxiety ✓ ✓ ✓

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

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