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9J3-20711-61840

5 vaccinations 6 coded responses 44 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
021 / MA
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
V7X-13267-15456 Child or adolescent in my care · Female · 2022-06-28

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  9. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-27
    Dose 2 — Moderna
  14. 2021-01-27
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-25
    Dose 3 — Pfizer-BioNTech
  30. 2021-10-25
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  32. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Muscle or body aches
    Free text: Swollen lymph node in injection side axilla
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Swollen tender lymph node L axilla (injected L arm)
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pregnancy — Feeling: Good
    Free text: I received a positive pregnancy test yesterday!
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-15
    Survey response — day 21, dose 3
    MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Morning sickness, all day. Recent pregnancy.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-11-24
    Survey response — day 28, dose 3
    MedDRA: Nausea, Pregnancy — Feeling: Fair
    Free text: Pregnancy nausea
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-25
    Survey response — 6 months, dose 3
    MedDRA: COVID-19, Cough — Feeling: Poor · Be unable to work or attend school
    Free text: Covid. Cough
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-05-21
    Dose 4 — Moderna
  46. 2022-06-28
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-07-02
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-08-23
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-09-09
    Dose 5 — Moderna
  50. 2022-11-19
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna
32021-10-25Pfizer-BioNTech No
42022-05-21Moderna No
52022-09-09Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Swollen lymph node in injection side axilla

2021-10-28

Systemic reaction (other): Swollen tender lymph node L axilla (injected L arm)

2021-10-29

Systemic reaction (other): I received a positive pregnancy test yesterday!

Release 10 — day 21, dose 3

2021-11-15

Symptoms: Morning sickness, all day. Recent pregnancy.

Release 10 — day 28, dose 3

2021-11-24

Symptoms: Pregnancy nausea

Release 11 — 6 months, dose 3

2022-04-25

Symptoms: Covid. Cough

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
SDCough · · ✓
SDCOVID-19 · · ✓
SDNausea · · ✓
SDPregnancy · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROPregnancy · · ✓

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

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