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9FJ-18577-11298

3 vaccinations 2 coded responses 37 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
430 / OH
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
NYS-25559-47992 Child or adolescent in my care · Female · 2022-07-09

Timeline

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-14
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-04
    Survey response — day 21, dose 1
    MedDRA: Respiratory tract congestion — Feeling: Good
    Free text: Congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-12
    Dose 2 — Moderna
  12. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  13. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-29
    Dose 3 — Moderna
  28. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  29. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  32. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  33. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-04-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-10-29
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-12Moderna
32021-10-29Moderna No

Free text

Release 1 — day 0, dose 1

2021-01-14

Systemic reaction (other): No

Release 3 — day 21, dose 1

2021-02-04

Symptoms: Congestion

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
SDRespiratory tract congestion ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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

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