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CRM-19714-30143

2 vaccinations 1 coded response 7 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
273 / NC
Registered
2021-08-07
Relationship
Adult relative or friend
Guardian
MMR-57182-46654
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-04
    Dose 1 — Moderna
  2. 2021-08-07
    Registered in v-safe
  3. 2021-08-07
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-08-08
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-08-15
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-08-31
    Dose 2 — Moderna
  7. 2021-09-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-09-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-09-06
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2022-08-31
    Survey response — 12 months, dose 2, dependent
    MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities
    Free text: Positive Covid test
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-04Moderna No
22021-08-31Moderna No

Free text

Release 12 — 12 months, dose 2, dependent

2022-08-31

Symptoms: Positive Covid test

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
SDSARS-CoV-2 test positive · · ✓

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