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7QL-31104-70747

3 vaccinations 1 coded response 13 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
805 / CO
Registered
2021-12-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
KBL-83316-14856 Child or adolescent in my care · Female · 2021-12-08

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-02-05
    Dose 2 — Moderna
  3. 2021-12-08
    Registered in v-safe
  4. 2021-12-08
    Dose 3 — Moderna
  5. 2021-12-08
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-12-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Nausea
    Adult check-in
  10. 2021-12-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-12-15
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-12-22
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-12-31
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-01-12
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-01-19
    Survey response — day 42, dose 3
    MedDRA: Malaise — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Covid symptoms
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-03-09
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-06-10
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna No
22021-02-05Moderna No
32021-12-08Moderna No

Free text

Release 10 — day 42, dose 3

2022-01-19

Symptoms: Covid symptoms

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
SDMalaise · · ✓

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

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