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R2D-39500-70929

3 vaccinations 5 coded responses 27 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
981 / WA
Registered
2021-03-20
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-20
    Registered in v-safe
  2. 2021-03-20
    Dose 1 — Moderna
  3. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good · Site: Pain · Muscle or body aches, Abdominal pain
    Free text: Itchiness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good
    Free text: Itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-17
    Dose 2 — Moderna
  9. 2021-04-17
    Survey response — day 0, dose 2
    MedDRA: Pruritus — Feeling: Good · Site: Pain
    Free text: Itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  11. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-24
    Health check-in — day 7, dose 2
    Feeling: Fair · None
    Adult check-in
  13. 2021-05-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-10-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-30
    Dose 3 — Moderna
  17. 2021-10-30
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-11-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Small bruise at injection site
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Small bruise at injection site
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-11-06
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-11-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-20
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-04
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-05-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-10-30
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Moderna
22021-04-17Moderna
32021-10-30Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Itchiness

2021-03-24

Systemic reaction (other): Itching

Release 7 — day 0, dose 2

2021-04-17

Systemic reaction (other): Itching

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Small bruise at injection site

2021-11-04

Systemic reaction (other): Small bruise at injection site

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
SROInjection site bruising · · ✓
SROPruritus ✓ ✓ ✓

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

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