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CYB-10814-65021

3 vaccinations 1 coded response 32 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
46-50
ZIP prefix
945 / CA
Registered
2021-03-31
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
6UG-32750-44504 Child or adolescent in my care · Male · 2021-11-12
D9B-23520-48317 Child or adolescent in my care · Male · 2021-11-12
8WA-12082-70472 Adult relative or friend · Female · 2021-12-07

Timeline

  1. 2021-03-31
    Registered in v-safe
  2. 2021-03-31
    Dose 1 — Moderna
  3. 2021-03-31
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-28
    Dose 2 — Moderna
  14. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  15. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-12-01
    Dose 3 — Moderna
    Co-administered: Flu
  25. 2021-12-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-12-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-12-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-01-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-03-02
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-06-01
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-12-01
    Survey response — 12 months, dose 3
    MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Cough , sore throat, fatigue
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-28Moderna
32021-12-01Moderna Flu

Free text

Release 12 — 12 months, dose 3

2022-12-01

Symptoms: Cough , sore throat, fatigue

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 · · ✓
SDFatigue · · ✓
SDOropharyngeal pain · · ✓

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

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