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94L-29663-25961

1 vaccination 1 coded response 7 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
540 / WI
Registered
2021-01-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Dose 1 — Moderna
  2. 2021-01-02
    Registered in v-safe
  3. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Diarrhea
    Adult check-in
  5. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-01-26
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-07-01
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-12-31
    Survey response — 12 months, dose 1
    MedDRA: Gastroenteritis viral, Pregnancy, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school
    Free text: Pregnancy Stomach flu (Covid test negative)
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna

Free text

Release 10 — 12 months, dose 1

2021-12-31

Symptoms: Pregnancy Stomach flu (Covid test negative)

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
SDGastroenteritis viral · · ✓
SDPregnancy · · ✓
SDSARS-CoV-2 test negative · · ✓

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