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EB3-18889-84964

3 vaccinations 1 coded response 42 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
197 / DE
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
RX2-22594-43769 Child or adolescent in my care · Female · 2021-11-14
2D6-14328-90353 Child or adolescent in my care · Male · 2021-11-14
PZD-21880-18310 Child or adolescent in my care · Female · 2021-11-14

Timeline

  1. 2021-04-08
    Registered in v-safe
  2. 2021-04-08
    Dose 1 — Moderna
  3. 2021-04-08
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Nausea
    Adult check-in
  9. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-06
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-05-07
    Dose 2 — Moderna
  15. 2021-05-07
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-05-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-05-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-12-06
    Dose 3 — Moderna
    Co-administered: Flu
  31. 2021-12-06
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  32. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  33. 2021-12-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dyspepsia — Feeling: Good · Site: Pain
    Free text: Heartburn
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-12-13
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-12-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-03-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-06-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-12-06
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Moderna
22021-05-07Moderna
32021-12-06Moderna Flu

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Heartburn

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
SRODyspepsia · · ✓

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

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