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65W-79890-42814

4 vaccinations 1 coded response 9 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
021 / MA
Registered
2021-12-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
AJ6-17543-12589 Child or adolescent in my care · Male · 2023-03-17
SB9-21889-22402 Child or adolescent in my care · Female · 2023-03-17

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-24
    Dose 2 — Moderna
  3. 2021-10-31
    Dose 3 — Moderna
  4. 2021-12-12
    Registered in v-safe
  5. 2021-12-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  6. 2022-01-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  7. 2022-05-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  8. 2022-09-08
    Dose 4 — Moderna
  9. 2022-10-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  10. 2022-10-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  11. 2022-10-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  12. 2022-10-20
    Survey response — day 42, dose 4
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-12-10
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  14. 2023-03-09
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna No
22021-04-24Moderna No
32021-10-31Moderna No
42022-09-08Moderna No

Free text

Release 12 — day 42, dose 4

2022-10-20

Symptoms: Sore throat

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
SDOropharyngeal pain · · ✓

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