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L4E-90796-53449

3 vaccinations 0 coded responses 15 check-ins 0 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
112 / NY
Registered
2021-07-01
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino
Registered dependents
LRK-29916-38749 Child or adolescent in my care · Male · 2021-07-01
G2K-12277-73634 Child or adolescent in my care · Male · 2021-07-01

Timeline

  1. 2021-06-30
    Dose 1 — Moderna
    Co-administered: yes
  2. 2021-07-01
    Registered in v-safe
  3. 2021-07-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-07-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-07-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-07-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-07-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-07-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-07-28
    Dose 2 — Moderna
  10. 2021-07-28
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Itching · None
    Adult check-in
  11. 2021-07-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-07-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-08-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-08-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-08-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2023-03-28
    Dose 3 — Moderna
  19. 2023-06-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-30Moderna Yes
22021-07-28Moderna No
32023-03-28Moderna No

Free text

None.

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

No MedDRA codes.

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