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MLT-68768-63281

3 vaccinations 1 coded response 31 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
891 / NV
Registered
2021-01-05
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino
Registered dependents
PG3-20137-55017 Child or adolescent in my care · Female · 2022-07-06

Timeline

  1. 2021-01-05
    Registered in v-safe
  2. 2021-01-05
    Dose 1 — Moderna
  3. 2021-01-05
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2021-01-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-02
    Dose 2 — Moderna
  13. 2021-02-02
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Joint pains
    Adult check-in
  16. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-16
    Survey response — day 42, dose 2
    MedDRA: Rash — Feeling: Good
    Free text: Im not sure if its the vaccine but I have rashes on my forearms that have been there for a month now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-08-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-22
    Dose 3 — Moderna
  26. 2021-10-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  27. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  28. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-05
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-04-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-10-24
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-02Moderna
32021-10-22Moderna No

Free text

Release 5 — day 42, dose 2

2021-03-16

Symptoms: Im not sure if its the vaccine but I have rashes on my forearms that have been there for a month now.

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
SDRash ✓ ✓ ✓

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

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