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MBM-28466-01659

2 vaccinations 2 coded responses 21 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
288 / NC
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Dose 1 — Moderna
  2. 2021-03-11
    Registered in v-safe
  3. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Good · Site: Pain
    Free text: Not diarrhea but loose stool
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-07
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-09
    Dose 2 — Moderna
  14. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-04-11
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Pruritus — Feeling: Good
    Free text: Intense itching of palms of hands and soles of feet periodically. Started after third shot and having a mild case of Covid
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-09Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Not diarrhea but loose stool

Release 11 — 12 months, dose 2

2022-04-11

Symptoms: Intense itching of palms of hands and soles of feet periodically. Started after third shot and having a mild case of Covid

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
SDCOVID-19 · · ✓
SDPruritus · · ✓
SRODiarrhoea ✓ ✓ ✓

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

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