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N2L-89107-53391

4 vaccinations 4 coded responses 19 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
945 / CA
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
4VN-17713-45313 Child or adolescent in my care · Female · 2022-09-27

Timeline

  1. 2021-01-16
    Registered in v-safe
  2. 2021-01-16
    Dose 1 — Moderna
  3. 2021-01-16
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-01-23
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-13
    Dose 2 — Moderna
  11. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-02-22
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-03
    Survey response — day 14, dose 2
    MedDRA: Sinus congestion — Feeling: Fair
    Free text: Sinus congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-08
    Survey response — day 21, dose 2
    MedDRA: Pyrexia, Sinus congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Sinus congestion and fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-06
    Dose 3 — Moderna
  21. 2022-05-07
    Survey response — 6 months, dose 3
    MedDRA: Wheezing — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Wheezing
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-09-19
    Dose 4 — Pfizer-BioNTech
  23. 2022-09-27
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  24. 2022-10-12
    Survey response — day 21, dose 4
    MedDRA: Rhinorrhoea — Feeling: Fair
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-13Moderna
32021-11-06Moderna No
42022-09-19Pfizer-BioNTech No

Free text

Release 5 — day 14, dose 2

2021-03-03

Symptoms: Sinus congestion

Release 5 — day 21, dose 2

2021-03-08

Symptoms: Sinus congestion and fever

Release 11 — 6 months, dose 3

2022-05-07

Symptoms: Wheezing

Release 12 — day 21, dose 4

2022-10-12

Symptoms: Runny nose

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
SDPyrexia ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSinus congestion ✓ ✓ ✓
SDWheezing · · ✓

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