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93S-36842-46020

3 vaccinations 1 coded response 33 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
840 / UT
Registered
2021-01-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
GTY-64883-43233 Child or adolescent in my care · Male · 2022-07-07

Timeline

  1. 2021-01-19
    Registered in v-safe
  2. 2021-01-19
    Dose 1 — Moderna
  3. 2021-01-19
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Nausea
    Adult check-in
  8. 2021-01-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-02
    Survey response — day 14, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: Rash on arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-16
    Dose 2 — Moderna
  12. 2021-02-16
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  14. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Nausea
    Adult check-in
  17. 2021-02-23
    Health check-in — day 7, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  18. 2021-03-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-11-03
    Dose 3 — Moderna
  25. 2021-11-03
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  26. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  27. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Diarrhea, Abdominal pain
    Adult check-in
  28. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-02-02
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-16Moderna
32021-11-03Moderna No

Free text

Release 3 — day 14, dose 1

2021-02-02

Symptoms: Rash on arm

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
SDRash ✓ ✓ ✓

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

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