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9DB-20973-30386

3 vaccinations 4 coded responses 14 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
460 / IN
Registered
2021-12-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
XX9-10948-27844 Child or adolescent in my care · Male · 2021-12-14

Timeline

  1. 2021-04-14
    Dose 1 — Moderna
  2. 2021-05-12
    Dose 2 — Moderna
  3. 2021-12-13
    Dose 3 — Moderna
  4. 2021-12-14
    Registered in v-safe
  5. 2021-12-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-12-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-12-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  8. 2021-12-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-12-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-12-20
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-12-28
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  12. 2022-01-03
    Survey response — day 21, dose 3
    MedDRA: Increased upper airway secretion — Feeling: Good
    Free text: Mucus, drainage in throat.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-01-10
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-01-17
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-01-24
    Survey response — day 42, dose 3
    MedDRA: Hypersensitivity, Respiratory tract congestion, Throat irritation — Feeling: Fair
    Free text: Allergies it seems. Raw throat at times. Mike congestion
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-03-14
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-06-13
    Survey response — 6 months, dose 3
    MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities
    Free text: Cold
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-12-15
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities
    Free text: COVID in July, colds here and there
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Moderna No
22021-05-12Moderna No
32021-12-13Moderna No

Free text

Release 10 — day 21, dose 3

2022-01-03

Symptoms: Mucus, drainage in throat.

Release 11 — day 42, dose 3

2022-01-24

Symptoms: Allergies it seems. Raw throat at times. Mike congestion

Release 12 — 6 months, dose 3

2022-06-13

Symptoms: Cold

Release 12 — 12 months, dose 3

2022-12-15

Symptoms: COVID in July, colds here and there

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
SDCOVID-19 · · ✓
SDHypersensitivity · · ✓
SDIncreased upper airway secretion · · ✓
SDNasopharyngitis · · ✓
SDRespiratory tract congestion · · ✓
SDThroat irritation · · ✓

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

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