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5EP-63847-18336

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
834 / ID
Registered
2021-03-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Dose 1 — Moderna
  2. 2021-03-30
    Registered in v-safe
  3. 2021-03-30
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  4. 2021-04-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-13
    Survey response — day 21, dose 1
    MedDRA: Chest discomfort, Dyspnoea — Feeling: Good
    Free text: Heavy chest breathing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-19
    Dose 2 — Moderna
  7. 2021-04-19
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  9. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  10. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-05
    Survey response — day 14, dose 2
    MedDRA: Ear infection — Feeling: Fair
    Free text: Ear infection in left ear
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-10
    Survey response — day 21, dose 2
    MedDRA: Ear infection — Feeling: Good
    Free text: Ear infection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-19
    Survey response — 3 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: Cold
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-10-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-04-21
    Survey response — 12 months, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-19Moderna

Free text

Release 7 — day 21, dose 1

2021-04-13

Symptoms: Heavy chest breathing

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Ear infection in left ear

Release 8 — day 21, dose 2

2021-05-10

Symptoms: Ear infection

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Cold

Release 11 — 12 months, dose 2

2022-04-21

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
SDChest discomfort ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDEar infection ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDPregnancy · · ✓

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

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