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KLA-28753-40876

1 vaccination 2 coded responses 15 check-ins 2 free-text entries 0 call cases
Sex
—
Age at first dose
16-20
ZIP prefix
636 / MO
Registered
2021-05-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-03
    Registered in v-safe
  2. 2021-05-03
    Dose 1 — Moderna
  3. 2021-05-03
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-05-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Peripheral vascular disorder, Skin discolouration — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Poor circulation to lower extremeties including blueish discoloration
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  6. 2021-05-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-05-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-05-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Abdominal pain
    Adult check-in
  10. 2021-05-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-06-03
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-06-09
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-08-02
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-11-01
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2022-05-05
    Survey response — 12 months, dose 1
    MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Miscarriage at ~5 weeks gestation
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-03Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-04

Systemic reaction (other): Poor circulation to lower extremeties including blueish discoloration

Release 11 — 12 months, dose 1

2022-05-05

Symptoms: Miscarriage at ~5 weeks gestation

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
SDAbortion spontaneous · · ✓
SROPeripheral vascular disorder ✓ ✓ ✓
SROSkin discolouration ✓ ✓ ✓

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