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5FE-27838-38324

5 vaccinations 1 coded response 33 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
750 / TX
Registered
2021-11-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
KRC-22607-96038 Child or adolescent in my care · Male · 2022-06-21

Timeline

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-03-02
    Dose 2 — Moderna
  3. 2021-11-01
    Dose 3 — Pfizer-BioNTech
  4. 2021-11-02
    Registered in v-safe
  5. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches
    Adult check-in
  7. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  8. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  10. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-11-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-11-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-11-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-31
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-05-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-08-09
    Dose 4 — Moderna
  20. 2022-08-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  21. 2022-08-11
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Heartburn
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-08-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache
    Adult check-in
  23. 2022-08-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  24. 2022-08-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  25. 2022-08-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-08-16
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-08-23
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-08-30
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-09-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-09-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-09-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-10-13
    Dose 5 — Moderna
  33. 2022-11-08
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-11-08
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  35. 2022-11-10
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  36. 2022-11-17
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  37. 2022-11-24
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  38. 2023-01-12
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  39. 2023-04-13
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna No
22021-03-02Moderna No
32021-11-01Pfizer-BioNTech No
42022-08-09Moderna No
52022-10-13Moderna No

Free text

Release 12 — days 1–6 daily, dose 4

2022-08-11

Systemic reaction (other): Heartburn

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
SRODyspepsia · · ✓

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

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