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MLL-28825-06257

3 vaccinations 4 coded responses 30 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
240 / VA
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Registered in v-safe
  2. 2021-03-03
    Dose 1 — Moderna
  3. 2021-03-03
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-31
    Dose 2 — Moderna
  14. 2021-03-31
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Some chest tightness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-12
    Survey response — day 42, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Birth of child
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-07-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-29
    Dose 3 — Moderna
  28. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dry mouth, Oral mucosal blistering, Swollen tongue — Feeling: Fair · Site: Pain, Swelling · Diarrhea
    Free text: Dry mouth, swollen tongue, oral blisters
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dry mouth, Swollen tongue, Thirst — Feeling: Fair · Fatigue or tiredness, Diarrhea
    Free text: Very dry mouth, excess thirst, swollen tongue
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna
32021-10-29Moderna No

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Some chest tightness

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Birth of child

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Dry mouth, swollen tongue, oral blisters

2021-11-01

Systemic reaction (other): Very dry mouth, excess thirst, swollen tongue

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
SDUnevaluable event ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODry mouth · · ✓
SROOral mucosal blistering · · ✓
SROSwollen tongue · · ✓
SROThirst · · ✓

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

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