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PN8-51352-28094

3 vaccinations 1 coded response 6 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
070 / NJ
Registered
2021-06-14
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino
Registered dependents
98V-27079-60145 Adult relative or friend · Female · 2021-06-14

Timeline

  1. 2021-04-09
    Dose 1 — Moderna
  2. 2021-05-07
    Dose 2 — Moderna
  3. 2021-06-14
    Registered in v-safe
  4. 2021-06-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-12-22
    Dose 3 — Moderna
  6. 2021-12-22
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  7. 2021-12-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain — Feeling: Fair · Headache, Muscle or body aches
    Free text: Just a mild pain,
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-12-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-12-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-07Moderna
32021-12-22Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-23

Systemic reaction (other): Just a mild pain,

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
SROPain · · ✓

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