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LMM-19117-25440

3 vaccinations 2 coded responses 3 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
451 / OH
Registered
2021-11-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Dose 1 — Moderna
  2. 2021-02-21
    Dose 2 — Moderna
  3. 2021-11-11
    Dose 3 — Moderna
  4. 2021-11-12
    Registered in v-safe
  5. 2021-11-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Heart rate increased, Pyrexia, Self-medication — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Rapid heart of 111 and fever that doesn't come down rotating Tylenol and Motrin
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-11-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna No
22021-02-21Moderna No
32021-11-11Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-12

Systemic reaction (other): Rapid heart of 111 and fever that doesn't come down rotating Tylenol and Motrin

2021-11-14

Systemic reaction (other): Cough

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
SROCough · · ✓
SROHeart rate increased · · ✓
SROPyrexia · · ✓
SROSelf-medication · · ✓

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