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QGS-27441-48089

1 vaccination 1 coded response 3 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
272 / NC
Registered
2021-07-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-30
    Dose 1 — Moderna
    Co-administered: yes
  2. 2021-07-01
    Registered in v-safe
  3. 2021-07-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Nausea, Vomiting, Abdominal pain
    Adult check-in
  4. 2021-07-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  5. 2021-07-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain — Feeling: Good
    Free text: Ear ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-06-30Moderna Yes

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-03

Systemic reaction (other): Ear ache

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
SROEar pain ✓ ✓ ✓

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