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EPN-14755-76931

3 vaccinations 2 coded responses 15 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
660 / KS
Registered
2021-10-29
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino
Registered dependents
SH9-95805-37520 Child or adolescent in my care · Male · 2022-07-19
MJM-19608-37270 Child or adolescent in my care · Female · 2022-07-19

Timeline

  1. 2021-04-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-28
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-29
    Registered in v-safe
  4. 2021-10-29
    Dose 3 — Moderna
  5. 2021-10-29
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: elevated pulse 120-130 while resting
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  8. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Nausea
    Adult check-in
  9. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  10. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness, Nausea
    Adult check-in
  11. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Abdominal pain
    Adult check-in
  12. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · Diarrhea, Abdominal pain
    Adult check-in
  13. 2021-11-14
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-01-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-04-29
    Survey response — 6 months, dose 3
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Pfizer-BioNTech No
22021-04-28Pfizer-BioNTech No
32021-10-29Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): elevated pulse 120-130 while resting

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Pregnant

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
SDPregnancy · · ✓
SROHeart rate increased · · ✓

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

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