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T62-27489-33032

3 vaccinations 3 coded responses 39 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
123 / NY
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
9QZ-10214-57817 Child or adolescent in my care · Female · 2022-07-26

Timeline

  1. 2021-01-29
    Registered in v-safe
  2. 2021-01-29
    Dose 1 — Moderna
  3. 2021-01-29
    Survey response — day 0, dose 1
    MedDRA: Injection site warmth — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Arm injected felt hot internally for a couple hours. Since gone away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-05
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache
    Adult check-in
  11. 2021-02-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-26
    Dose 2 — Moderna
  14. 2021-02-26
    Survey response — day 0, dose 2
    MedDRA: Axillary pain, Paraesthesia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Pins and needles at injection site and throbbing arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  16. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in jaw — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Jaw pain severe last night none today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-29
    Dose 3 — Moderna
  29. 2021-11-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness · Muscle or body aches
    Adult check-in
  30. 2021-12-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-12-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-12-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-06
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-20
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-06-01
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-11-29
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-26Moderna
32021-11-29Moderna No

Free text

Release 3 — day 0, dose 1

2021-01-29

Systemic reaction (other): Arm injected felt hot internally for a couple hours. Since gone away

Release 4 — day 0, dose 2

2021-02-26

Systemic reaction (other): Pins and needles at injection site and throbbing arm

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Jaw pain severe last night none today

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
SROAxillary pain ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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

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