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E9M-19020-92490

3 vaccinations 1 coded response 23 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
494 / MI
Registered
2020-12-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
M3L-10615-10606 Child or adolescent in my care · Female · 2021-12-11
WK4-80300-67165 Child or adolescent in my care · Female · 2021-12-11

Timeline

  1. 2020-12-26
    Registered in v-safe
  2. 2020-12-26
    Dose 1 — Moderna
  3. 2020-12-26
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness
    Adult check-in
  4. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  8. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-23
    Dose 2 — Moderna
  14. 2021-01-23
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  15. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-01
    Dose 3 — Moderna
  26. 2021-12-11
    Survey response — day 35, dose 3
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: I have a non covid cold. Dont feel it is related.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-26Moderna
22021-01-23Moderna
32021-11-01Moderna No

Free text

Release 10 — day 35, dose 3

2021-12-11

Symptoms: I have a non covid cold. Dont feel it is related.

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
SDNasopharyngitis · · ✓

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

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