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J8F-35453-67914

2 vaccinations 1 coded response 22 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
302 / GA
Registered
2021-06-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
263-60525-24456 Child or adolescent in my care · Male · 2021-07-12

Timeline

  1. 2021-06-08
    Registered in v-safe
  2. 2021-06-08
    Dose 1 — Moderna
  3. 2021-06-08
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-06-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-06-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-06-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-06-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-06-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  9. 2021-06-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-06-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-06-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-06-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-07-06
    Dose 2 — Moderna
  14. 2021-07-06
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  15. 2021-07-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-07-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-07-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-07-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-07-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-07-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-07-13
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  22. 2021-07-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-03
    Survey response — day 28, dose 2
    MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: After second shoot he has headache, Chills, fever, body aches.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2021-08-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-08Moderna
22021-07-06Moderna No

Free text

Release 9 — day 28, dose 2

2021-08-03

Symptoms: After second shoot he has headache, Chills, fever, body aches.

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
SDChills ✓ · ✓
SDHeadache ✓ · ✓
SDPain ✓ · ✓
SDPyrexia ✓ · ✓

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

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