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67B-76415-98880

1 vaccination 1 coded response 9 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
782 / TX
Registered
2021-09-08
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-09-07
    Dose 1 — Moderna
  2. 2021-09-08
    Registered in v-safe
  3. 2021-09-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-09-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-09-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-09-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-09-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-09-21
    Survey response — day 14, dose 1
    MedDRA: Ear pain — Feeling: Poor
    Free text: Ear ache
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-09-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-10-14
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-12-07
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-09-07Moderna No

Free text

Release 9 — day 14, dose 1

2021-09-21

Symptoms: Ear ache

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
SDEar pain · · ✓

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