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T4X-54947-92148

3 vaccinations 1 coded response 41 check-ins 1 free-text entry 0 call cases
Sex
Male
Age at first dose
41-45
ZIP prefix
402 / KY
Registered
2021-03-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
Y4W-84122-68151 Child or adolescent in my care · Male · 2022-06-30

Timeline

  1. 2021-03-17
    Registered in v-safe
  2. 2021-03-17
    Dose 1 — Moderna
  3. 2021-03-17
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-14
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-15
    Dose 2 — Moderna
  15. 2021-04-15
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-04-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-11-02
    Dose 3 — Moderna
  31. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  32. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  33. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache
    Adult check-in
  34. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-09
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-30
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-02-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-05-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-11-02
    Survey response — 12 months, dose 3
    MedDRA: Nasopharyngitis — Feeling: Good
    Free text: Very minor cold-like symptoms likely passed to me by my son who attends day care
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-15Moderna
32021-11-02Moderna No

Free text

Release 12 — 12 months, dose 3

2022-11-02

Symptoms: Very minor cold-like symptoms likely passed to me by my son who attends day care

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
SDNasopharyngitis · · ✓

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

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