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69C-32434-15006

2 vaccinations 3 coded responses 14 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
301 / GA
Registered
2021-09-29
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino
Registered dependents
PZ4-13991-67800 Child or adolescent in my care · Female · 2021-12-22

Timeline

  1. 2021-09-01
    Dose 1 — Moderna
  2. 2021-09-29
    Registered in v-safe
  3. 2021-09-29
    Dose 2 — Moderna
  4. 2021-09-29
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  5. 2021-09-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-10-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-10-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Dyspepsia — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Extreme heartburn- Wed. Chest pain- Thurs & Fri
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-10-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy — Feeling: Good · Site: Itching
    Free text: 37 weeks pregnant
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-10-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-10-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-10-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-10-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-10-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-11-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-12-31
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-03-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-09-01Moderna No
22021-09-29Moderna No

Free text

Release 9 — days 1–6 daily, dose 2

2021-10-01

Systemic reaction (other): Pregnancy

2021-10-02

Systemic reaction (other): Extreme heartburn- Wed. Chest pain- Thurs & Fri

2021-10-03

Systemic reaction (other): 37 weeks pregnant

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
SROChest pain · · ✓
SRODyspepsia · · ✓
SROPregnancy · · ✓

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