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6GV-13755-15338

3 vaccinations 2 coded responses 16 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
442 / OH
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
ZW5-28197-42133 Child or adolescent in my care · Male · 2022-07-18

Timeline

  1. 2020-12-31
    Registered in v-safe
  2. 2020-12-31
    Dose 1 — Moderna
  3. 2020-12-31
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Respiratory tract congestion — Feeling: Good · Site: Pain
    Free text: Congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea
    Adult check-in
  6. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-14
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria — Feeling: Good
    Free text: Injection site redness and inching and raised skin/swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-28
    Dose 2 — Moderna
  14. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-30
    Dose 3 — Moderna
  19. 2022-01-28
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-05-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-28Moderna
32021-10-30Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Congestion

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Injection site redness and inching and raised skin/swelling

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
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site urticaria ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

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

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