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L59-78033-48196

4 vaccinations 3 coded responses 37 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
606 / IL
Registered
2021-03-13
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino
Registered dependents
KXH-10971-55033 Child or adolescent in my care · Male · 2022-07-01

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-03-13
    Registered in v-safe
  3. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast feeding, Poor feeding infant — Feeling: Good · Site: Pain
    Free text: I am breastfeeding and last night my child vomited and had 1 loose stool. Unsure if related to vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  5. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  6. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  8. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Fair · None
    Adult check-in
  9. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Dose 2 — Moderna
  12. 2021-04-08
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-04-09
    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 do your normal daily activities
    Adult check-in
  14. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  15. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-06
    Survey response — day 28, dose 2
    MedDRA: Menometrorrhagia — Feeling: Good
    Free text: Slightly early and heavy menses.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-23
    Dose 3 — Moderna
  27. 2022-04-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-10-07
    Dose 4 — Moderna
  29. 2022-10-07
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2022-10-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  31. 2022-10-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2022-10-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  33. 2022-10-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-10-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-10-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-10-14
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-10-21
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-10-28
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-11-04
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-11-11
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-11-18
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2023-01-06
    Survey response — 3 months, dose 4
    MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna
32021-11-23Moderna No
42022-10-07Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): I am breastfeeding and last night my child vomited and had 1 loose stool. Unsure if related to vaccine.

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Slightly early and heavy menses.

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
SDMenometrorrhagia ✓ ✓ ✓
SDNasopharyngitis · · ✓
SROBreast feeding ✓ ✓ ✓
SROPoor feeding infant ✓ ✓ ✓

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

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