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DQP-47749-18056

3 vaccinations 3 coded responses 14 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
178 / PA
Registered
2021-12-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Dose 1 — Moderna
  2. 2021-04-24
    Dose 2 — Moderna
  3. 2021-12-10
    Dose 3 — Moderna
  4. 2021-12-11
    Registered in v-safe
  5. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness · Muscle or body aches
    Adult check-in
  7. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  8. 2021-12-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-12-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-12-19
    Health check-in — day 7, dose 3
    Feeling: Good · Headache
    Adult check-in
  11. 2021-12-26
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  12. 2022-01-01
    Survey response — day 21, dose 3
    MedDRA: Cough, Dry throat, Oropharyngeal pain — Feeling: Good
    Free text: Mild cough, dry/sore throat.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-01-09
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-01-14
    Survey response — day 35, dose 3
    MedDRA: Abortion spontaneous — Feeling: Good · Be unable to do your normal daily activities
    Free text: Missed miscarriage.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-01-24
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-03-11
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-06-13
    Survey response — 6 months, dose 3
    MedDRA: Cough — Feeling: Good
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-12-12
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna No
22021-04-24Moderna No
32021-12-10Moderna No

Free text

Release 10 — day 21, dose 3

2022-01-01

Symptoms: Mild cough, dry/sore throat.

Release 10 — day 35, dose 3

2022-01-14

Symptoms: Missed miscarriage.

Release 12 — 6 months, dose 3

2022-06-13

Symptoms: 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
SDAbortion spontaneous · · ✓
SDCough · · ✓
SDDry throat · · ✓
SDOropharyngeal pain · · ✓

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