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6BF-26964-13103

2 vaccinations 3 coded responses 21 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
197 / DE
Registered
2021-04-18
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-13
    Dose 1 — Moderna
  2. 2021-04-18
    Registered in v-safe
  3. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-05-04
    Survey response — day 21, dose 1
    MedDRA: Seasonal allergy — Feeling: Fair
    Free text: Seasonal allergic rhinitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-11
    Dose 2 — Moderna
  9. 2021-05-11
    Survey response — day 0, dose 2
    MedDRA: Headache, Pre-existing disease — Feeling: Good · Headache
    Free text: The headache was there prior to vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-22
    Survey response — day 42, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-08-10
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-11-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-05-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-11Moderna

Free text

Release 8 — day 21, dose 1

2021-05-04

Symptoms: Seasonal allergic rhinitis

Release 8 — day 0, dose 2

2021-05-11

Systemic reaction (other): The headache was there prior to vaccination

Release 9 — day 42, dose 2

2021-06-22

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
SDPregnancy ✓ ✓ ✓
SDSeasonal allergy ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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