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PDJ-29341-84635

3 vaccinations 1 coded response 28 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
606 / IL
Registered
2021-07-19
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino
Registered dependents
QVT-30602-78177 Child or adolescent in my care · Female · 2022-01-18
R2N-15710-83669 Child or adolescent in my care · Female · 2022-01-18

Timeline

  1. 2021-07-19
    Registered in v-safe
  2. 2021-07-19
    Dose 1 — Moderna
  3. 2021-07-19
    Survey response — day 0, dose 1
    MedDRA: Fatigue — Feeling: Good · Site: Swelling · Be unable to work or attend school
    Free text: Tired
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-07-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-07-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None · Be unable to work or attend school
    Adult check-in
  6. 2021-07-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Swelling · None
    Adult check-in
  7. 2021-07-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-07-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-07-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-07-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-08-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-08-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-08-16
    Dose 2 — Moderna
  14. 2021-08-16
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · None · Be unable to work or attend school
    Adult check-in
  15. 2021-08-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Chills · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-08-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  17. 2021-08-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-08-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-08-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-08-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-08-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-02-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-03-16
    Dose 3 — Moderna
  29. 2022-05-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-06-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-09-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2023-03-18
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-19Moderna No
22021-08-16Moderna No
32022-03-16Moderna No

Free text

Release 9 — day 0, dose 1

2021-07-19

Systemic reaction (other): Tired

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
SROFatigue · · ✓

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