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PN6-33091-18427

4 vaccinations 3 coded responses 54 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
919 / CA
Registered
2021-01-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
7BG-14493-24902 Child or adolescent in my care · Female · 2022-06-30
MY3-18385-77016 Child or adolescent in my care · Female · 2022-09-15

Timeline

  1. 2021-01-19
    Registered in v-safe
  2. 2021-01-19
    Dose 1 — Moderna
  3. 2021-01-19
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-16
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-23
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-24
    Dose 2 — Moderna
  15. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  16. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  18. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  19. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  20. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-12-11
    Dose 3 — Pfizer-BioNTech
  31. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  33. 2021-12-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-18
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-25
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-01
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-08
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-15
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-22
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-03-12
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  43. 2022-06-11
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-09-26
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  45. 2022-09-26
    Health check-in — day 0, dose 4
    Feeling: Good · Headache
    Adult check-in
  46. 2022-09-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  47. 2022-09-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  48. 2022-09-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Swelling · None
    Adult check-in
  49. 2022-09-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Swelling · None
    Adult check-in
  50. 2022-10-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Swelling · None
    Adult check-in
  51. 2022-10-02
    Survey response — days 1–6 daily, dose 4
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Swelling
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-10-03
    Survey response — day 7, dose 4
    MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Swelling · Fever
    Free text: Sore throat, cough
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-10-10
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  54. 2022-10-19
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-10-25
    Survey response — day 28, dose 4
    MedDRA: Cough, Nasal congestion — Feeling: Fair
    Free text: Stuffy nose, cough
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-10-31
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  57. 2022-11-09
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-12-27
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  59. 2023-03-27
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-24Moderna
32021-12-11Pfizer-BioNTech No
42022-09-26Pfizer-BioNTech Flu

Free text

Release 12 — days 1–6 daily, dose 4

2022-10-02

Systemic reaction (other): Sore throat

Release 12 — day 7, dose 4

2022-10-03

Systemic reaction (other): Sore throat, cough

Release 12 — day 28, dose 4

2022-10-25

Symptoms: Stuffy nose, cough

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
SDCough · · ✓
SDNasal congestion · · ✓
SROCough · · ✓
SROOropharyngeal pain · · ✓

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

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