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5BB-17103-51877

4 vaccinations 7 coded responses 51 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
875 / NM
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Registered in v-safe
  2. 2021-02-10
    Dose 1 — Moderna
  3. 2021-02-10
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Sore arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-10
    Dose 2 — Moderna
  14. 2021-03-10
    Survey response — day 0, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Sore arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Decreased appetite, Hypersomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Severe chills, lack of appetite, slept all day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  19. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-11
    Survey response — 3 months, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-09-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-01
    Dose 3 — Moderna
  28. 2021-11-01
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  30. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-31
    Survey response — 3 months, dose 3
    MedDRA: Delivery — Feeling: Good
    Free text: Gave birth to a healthy baby
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-05-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-09-09
    Dose 4 — Moderna
  44. 2022-09-09
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-09-10
    Survey response — days 1–6 daily, dose 4
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Diarrhea
    Free text: Sore armpit
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-09-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Diarrhea
    Adult check-in
  47. 2022-09-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  48. 2022-09-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Diarrhea
    Adult check-in
  49. 2022-09-18
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-09-23
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-09-30
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-10-07
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-10-16
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-10-21
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-12-09
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  56. 2023-03-10
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-10Moderna
32021-11-01Moderna No
42022-09-09Moderna No

Free text

Release 4 — day 0, dose 1

2021-02-10

Systemic reaction (other): light headed

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Sore arm

Release 5 — day 0, dose 2

2021-03-10

Systemic reaction (other): Sore arm

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Severe chills, lack of appetite, slept all day

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Pregnancy

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Gave birth to a healthy baby

Release 12 — days 1–6 daily, dose 4

2022-09-10

Systemic reaction (other): Sore armpit

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
SDDelivery · · ✓
SDPregnancy ✓ ✓ ✓
SROAxillary pain · · ✓
SROChills ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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