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EYC-81052-99617

3 vaccinations 2 coded responses 29 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
980 / WA
Registered
2020-12-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
8N4-21486-99784 Child or adolescent in my care · Female · 2021-11-12

Timeline

  1. 2020-12-23
    Registered in v-safe
  2. 2020-12-23
    Dose 1 — Moderna
  3. 2020-12-23
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: Very mild Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-01
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  10. 2021-01-06
    Survey response — day 14, dose 1
    MedDRA: Injection site pain, Injection site pruritus — Feeling: Good
    Free text: Days 7-10 I had pain and itching at the injection site- no swelling, no redness. Improved again after day 7.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-20
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-25
    Dose 2 — Moderna
  14. 2021-01-25
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  17. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-02
    Dose 3 — Moderna
  28. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-30
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-05-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-25Moderna
32021-11-02Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): Very mild Sore throat

Release 1 — day 14, dose 1

2021-01-06

Symptoms: Days 7-10 I had pain and itching at the injection site- no swelling, no redness. Improved again after day 7.

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
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓

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

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