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5C9-17557-58664

4 vaccinations 2 coded responses 38 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
983 / WA
Registered
2021-01-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
PJL-33539-66584 Child or adolescent in my care · Male · 2022-06-23
ZD3-33735-08305 Child or adolescent in my care · Female · 2022-06-23
WV8-19429-66789 Child or adolescent in my care · Male · 2022-06-23

Timeline

  1. 2021-01-05
    Registered in v-safe
  2. 2021-01-05
    Dose 1 — Moderna
  3. 2021-01-05
    Health check-in — day 0, dose 1
    Feeling: Good · Headache, Nausea
    Adult check-in
  4. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-20
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Good
    Free text: Injection site swelled, was hot, red and itchy on day 13-14, now is fine though.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-02
    Dose 2 — Moderna
  13. 2021-02-02
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Nausea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Headache
    Adult check-in
  16. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  17. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  18. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  19. 2021-02-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-03
    Dose 3 — Moderna
  28. 2022-02-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-10-12
    Dose 4 — Moderna
    Co-administered: Flu
  30. 2022-10-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  31. 2022-10-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Abdominal pain
    Adult check-in
  32. 2022-10-15
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chest pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Abdominal pain
    Free text: Have been experiancing chest pains since about 5 hours after shot. Unsure if they are connected.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-10-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling · Headache, Abdominal pain
    Adult check-in
  34. 2022-10-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-10-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Itching · Abdominal pain
    Adult check-in
  36. 2022-10-19
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-10-27
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-11-02
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-11-09
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-11-16
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-11-23
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2023-01-11
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  43. 2023-04-12
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-02Moderna
32021-11-03Moderna No
42022-10-12Moderna Flu

Free text

Release 2 — day 14, dose 1

2021-01-20

Symptoms: Injection site swelled, was hot, red and itchy on day 13-14, now is fine though.

Release 12 — days 1–6 daily, dose 4

2022-10-15

Systemic reaction (other): Have been experiancing chest pains since about 5 hours after shot. Unsure if they are connected.

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
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SROChest pain · · ✓

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

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