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HZ7-59253-20132

3 vaccinations 2 coded responses 37 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
106 / NY
Registered
2021-01-28
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Chills
    Free text: I indicated I was pregnant by mistake, I was not nor am I pregnant when I received the first dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-24
    Dose 2 — Moderna
  14. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  15. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-22
    Dose 3 — Moderna
  29. 2021-12-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains
    Free text: Cough, sore throat
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  31. 2021-12-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  32. 2021-12-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-12-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2022-01-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-02-02
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-03-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-06-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-24Moderna
32021-12-22Moderna No

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): I indicated I was pregnant by mistake, I was not nor am I pregnant when I received the first dose.

Release 10 — days 1–6 daily, dose 3

2021-12-24

Systemic reaction (other): Cough, sore throat

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
SROCough · · ✓
SROOropharyngeal pain · · ✓
SROUnevaluable event ✓ ✓ ✓

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

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