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AQ5-61389-66727

3 vaccinations 2 coded responses 26 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
601 / IL
Registered
2021-07-27
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino
Registered dependents
UAD-12715-23906 Child or adolescent in my care · Female · 2022-06-22

Timeline

  1. 2021-07-24
    Dose 1 — Moderna
  2. 2021-07-27
    Registered in v-safe
  3. 2021-07-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-07-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea
    Adult check-in
  5. 2021-07-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-07-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-07-31
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-08-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-08-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-08-19
    Dose 2 — Moderna
  11. 2021-08-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site swelling, Swelling — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Overall body swelling not just injection site
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-08-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-08-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-08-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-08-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-08-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-09-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-02-26
    Dose 3 — Moderna
  23. 2022-02-26
    Survey response — day 0, dose 3
    MedDRA: Ear pain, Throat irritation — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Ear ache, tickle in throat
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-02-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  25. 2022-03-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  26. 2022-03-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  27. 2022-03-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2022-03-07
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  29. 2022-03-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-08-27
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-24Moderna No
22021-08-19Moderna No
32022-02-26Moderna No

Free text

Release 9 — days 1–6 daily, dose 2

2021-08-20

Systemic reaction (other): Overall body swelling not just injection site

Release 11 — day 0, dose 3

2022-02-26

Systemic reaction (other): Ear ache, tickle in throat

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
SROEar pain · · ✓
SROInjection site swelling ✓ · ✓
SROSwelling ✓ · ✓
SROThroat irritation · · ✓

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

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