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8VV-21008-54736

3 vaccinations 1 coded response 9 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
773 / TX
Registered
2022-01-05
Relationship
Adult relative or friend
Guardian
32W-31519-52882
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-24
    Dose 1 — Moderna
  2. 2021-05-22
    Dose 2 — Moderna
  3. 2022-01-04
    Dose 3 — Moderna
  4. 2022-01-05
    Registered in v-safe
  5. 2022-01-13
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  6. 2022-01-20
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  7. 2022-01-25
    Health check-in — day 21, dose 3, dependent
    Feeling: Fair
    Adult check-in
  8. 2022-02-01
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  9. 2022-02-08
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  10. 2022-02-15
    Health check-in — day 42, dose 3, dependent
    Feeling: Fair
    Adult check-in
  11. 2022-04-05
  12. 2022-07-05
    Survey response — 6 months, dose 3, dependent
    MedDRA: Influenza like illness, Pain — Feeling: Good
    Free text: Flu symptoms specifically body ache over the past two nights.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2023-01-04

Vaccinations

DoseDateManufacturerCo-administered
12021-04-24Moderna No
22021-05-22Moderna No
32022-01-04Moderna No

Free text

Release 12 — 6 months, dose 3, dependent

2022-07-05

Symptoms: Flu symptoms specifically body ache over the past two nights.

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
SDInfluenza like illness · · ✓
SDPain · · ✓

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