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826-33010-80071

5 vaccinations 1 coded response 29 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
773 / TX
Registered
2021-01-05
Relationship
Self
Race
Native Hawaiian or other Pacific Islander
Ethnicity
Hispanic or Latino
Registered dependents
TZZ-15728-92458 Child or adolescent in my care · Female · 2023-02-14

Timeline

  1. 2020-12-24
    Dose 1 — Moderna
  2. 2021-01-05
    Registered in v-safe
  3. 2021-01-05
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-01-21
    Dose 2 — Moderna
  7. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  8. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  9. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-01-28
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-28
    Dose 3 — Moderna
  19. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  20. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  21. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  22. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache
    Adult check-in
  24. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-27
    Survey response — 3 months, dose 3
    MedDRA: Dyspnoea, Lethargy, Pyrexia — Feeling: Good · Be unable to work or attend school
    Free text: Shortness of breath. Lethargic. Fever
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-04-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-06-12
    Dose 4 — Moderna
  33. 2022-10-29
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-11-18
    Dose 5 — Moderna
  35. 2023-05-19
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-24Moderna
22021-01-21Moderna
32021-10-28Moderna No
42022-06-12Moderna No
52022-11-18Moderna No

Free text

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Shortness of breath. Lethargic. Fever

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
SDDyspnoea · · ✓
SDLethargy · · ✓
SDPyrexia · · ✓

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