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FPL-12320-77623

3 vaccinations 1 coded response 40 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
606 / IL
Registered
2021-02-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
YBK-30314-43601 Child or adolescent in my care · Female · 2021-11-13
BEK-32725-00412 Child or adolescent in my care · Male · 2021-11-13

Timeline

  1. 2021-02-13
    Registered in v-safe
  2. 2021-02-13
    Dose 1 — Moderna
  3. 2021-02-13
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-27
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-13
    Dose 2 — Moderna
  14. 2021-03-13
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain, Pharyngeal swelling — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Sore throat / swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  20. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  21. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-10
    Dose 3 — Moderna
  30. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  31. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-01
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-10
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-15
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-22
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-09
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-05-11
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-11-10
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna
32021-11-10Moderna No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Sore throat / swollen

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
SROOropharyngeal pain ✓ ✓ ✓
SROPharyngeal swelling ✓ ✓ ✓

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

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