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GZE-12548-36798

3 vaccinations 3 coded responses 21 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
435 / OH
Registered
2021-02-01
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino
Registered dependents
5NX-13440-27081 Child or adolescent in my care · Male · 2021-11-13
S7N-30636-99170 Child or adolescent in my care · Female · 2021-12-23

Timeline

  1. 2020-12-26
    Dose 1 — Moderna
  2. 2021-01-30
    Dose 2 — Moderna
  3. 2021-02-01
    Registered in v-safe
  4. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-02-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-08-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-10-26
    Dose 3 — Moderna
  12. 2021-10-26
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  16. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Pain in extremity — Feeling: Good
    Free text: Soreness in the arm and under the armpit
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  18. 2021-11-02
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  19. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-11-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-11-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-12-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-01-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-04-26
    Survey response — 6 months, dose 3
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-10-28
    Survey response — 12 months, dose 3
    MedDRA: COVID-19 — Feeling: Good
    Free text: COVID
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-26Moderna
22021-01-30Moderna
32021-10-26Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Soreness in the arm and under the armpit

Release 11 — 6 months, dose 3

2022-04-26

Symptoms: Pregnancy

Release 12 — 12 months, dose 3

2022-10-28

Symptoms: COVID

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
SDCOVID-19 · · ✓
SDPregnancy · · ✓
SROAxillary pain · · ✓
SROPain in extremity · · ✓

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