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PQ6-31589-65073

2 vaccinations 2 coded responses 9 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
853 / AZ
Registered
2021-01-23
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-01-23
    Registered in v-safe
  3. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Good · Site: Pain, Swelling, Itching
    Free text: Lower back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling, Itching · None
    Adult check-in
  6. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-08
    Survey response — day 14, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: I feel good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-26
    Dose 2 — Moderna
  9. 2021-02-26
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  11. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-26Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Lower back pain

Release 3 — day 14, dose 1

2021-02-08

Symptoms: I feel good

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
SDNo adverse event ✓ ✓ ✓
SROBack pain ✓ ✓ ✓

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

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