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LE9-93780-02885

3 vaccinations 1 coded response 4 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
805 / CO
Registered
2021-11-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
Z2S-46155-54441 Child or adolescent in my care · Male · 2021-11-20

Timeline

  1. 2021-03-31
    Dose 1 — Moderna
  2. 2021-04-28
    Dose 2 — Moderna
  3. 2021-11-20
    Registered in v-safe
  4. 2021-11-20
    Dose 3 — Moderna
  5. 2021-11-20
    Survey response — day 0, dose 3
    MedDRA: Dizziness, Hot flush — Feeling: Fair
    Free text: Heat flash, light headed
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-11-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna No
22021-04-28Moderna No
32021-11-20Moderna No

Free text

Release 10 — day 0, dose 3

2021-11-20

Systemic reaction (other): Heat flash, light headed

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
SRODizziness · · ✓
SROHot flush · · ✓

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