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4XN-17985-62971

3 vaccinations 3 coded responses 20 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
837 / ID
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-16
    Registered in v-safe
  2. 2021-01-16
    Dose 1 — Moderna
  3. 2021-01-16
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  4. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-10
    Dose 2 — Moderna
  12. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  13. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-03-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-12
    Survey response — 3 months, dose 2
    MedDRA: Dry skin, Skin haemorrhage, Skin irritation — Feeling: Good
    Free text: My skin is dry and irritated. Sometimes when I scratch my skin it bleeds.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-08-11
    Survey response — 6 months, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: I am pregnant.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-11-22
    Dose 3 — Moderna
  22. 2022-02-10
    Survey response — 12 months, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-02-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-05-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-10Moderna
32021-11-22Moderna No

Free text

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: My skin is dry and irritated. Sometimes when I scratch my skin it bleeds.

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: I am pregnant.

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Pregnancy

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
SDDry skin ✓ ✓ ✓
SDPregnancy ✓ · ✓
SDSkin haemorrhage ✓ ✓ ✓
SDSkin irritation ✓ ✓ ✓

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

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