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L9R-94731-07406

4 vaccinations 3 coded responses 31 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
521 / IA
Registered
2021-01-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
UF7-26380-19860 Child or adolescent in my care · Female · 2022-08-10

Timeline

  1. 2020-12-22
    Dose 1 — Moderna
  2. 2021-01-19
    Registered in v-safe
  3. 2021-01-19
    Dose 2 — Moderna
  4. 2021-01-19
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-01-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good · Site: Pain
    Free text: Bruise at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  7. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-01-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-02
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-02-09
    Survey response — day 21, dose 2
    MedDRA: Diarrhoea, Oropharyngeal pain — Feeling: Fair
    Free text: Diarrhea and sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-11
    Dose 3 — Moderna
  18. 2021-11-26
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-12-02
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-12-09
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-12-18
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-12-28
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-05-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-09-14
    Dose 4 — Moderna
    Co-administered: Flu
  25. 2022-09-14
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-09-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  27. 2022-09-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-09-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-09-21
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  30. 2022-09-28
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-10-07
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-10-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-10-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-10-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-12-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  36. 2023-03-16
    Survey response — 6 months, dose 4
    MedDRA: Delivery, Oropharyngeal pain — Feeling: Fair
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12020-12-22Moderna
22021-01-19Moderna
32021-11-11Moderna No
42022-09-14Moderna Flu

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): Bruise at injection site

Release 3 — day 21, dose 2

2021-02-09

Symptoms: Diarrhea and 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
SDDelivery · · ✓
SDDiarrhoea ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓

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

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