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67R-24533-11688

4 vaccinations 3 coded responses 30 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
940 / CA
Registered
2021-03-04
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino
Registered dependents
HQ5-37121-72387 Child or adolescent in my care · Male · 2022-10-16

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  10. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-18
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-01
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-03
    Dose 2 — Moderna
  15. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  16. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Diarrhea
    Adult check-in
  17. 2021-04-10
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-04-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-03
    Survey response — 3 months, dose 2
    MedDRA: Colitis — Feeling: Good
    Free text: Intermittent colitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-10-02
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-11-27
    Dose 3 — Moderna
  26. 2022-04-03
    Survey response — 12 months, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-10-07
    Dose 4 — Moderna
  28. 2022-10-16
    Health check-in — day 7, dose 4
    Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  29. 2022-10-23
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  30. 2022-10-28
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-11-04
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-11-11
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-11-18
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  34. 2023-01-06
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  35. 2023-04-07
    Survey response — 6 months, dose 4
    MedDRA: Nasopharyngitis — Feeling: Fair
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-03Moderna
32021-11-27Moderna No
42022-10-07Moderna No

Free text

Release 9 — 3 months, dose 2

2021-07-03

Symptoms: Intermittent colitis

Release 11 — 12 months, dose 2

2022-04-03

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
SDColitis ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDPregnancy · · ✓

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

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