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TBR-17549-38778

1 vaccination 2 coded responses 3 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
959 / CA
Registered
2021-05-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-15
    Dose 1 — Moderna
  2. 2021-05-17
    Registered in v-safe
  3. 2021-05-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Contusion — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Vomiting
    Free text: Bruising
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Contusion — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Vomiting
    Free text: Bursing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-15Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-17

Systemic reaction (other): Bruising

2021-05-18

Systemic reaction (other): Bursing

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
SROContusion ✓ ✓ ✓

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