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TKN-71374-86446

4 vaccinations 1 coded response 13 check-ins 0 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
467 / IN
Registered
2022-04-15
Relationship
Other
Guardian
3UV-26469-77828
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Dose 1 — Moderna
  2. 2021-02-19
    Dose 2 — Moderna
  3. 2021-09-20
    Dose 3 — Moderna
    Co-administered: Flu
  4. 2022-04-15
    Registered in v-safe
  5. 2022-04-15
    Dose 4 — Pfizer-BioNTech
  6. 2022-04-15
    Health check-in — day 0, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-04-16
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Fair · Site: Pain · None
    Adult check-in
  8. 2022-04-18
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-04-19
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-04-20
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-04-21
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  12. 2022-04-22
    Health check-in — day 7, dose 4, dependent
    Feeling: Good · None
    Adult check-in
  13. 2022-05-01
    Health check-in — day 14, dose 4, dependent
    Feeling: Good
    Adult check-in
  14. 2022-05-06
    Health check-in — day 21, dose 4, dependent
    Feeling: Good
    Adult check-in
  15. 2022-05-13
    Health check-in — day 28, dose 4, dependent
    Feeling: Good
    Adult check-in
  16. 2022-05-22
    Health check-in — day 35, dose 4, dependent
    Feeling: Good
    Adult check-in
  17. 2022-10-16
  18. 2023-04-17
    Survey response — 12 months, dose 4, dependent
    MedDRA: Bronchitis, Fatigue, Influenza like illness — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna No
22021-02-19Moderna No
32021-09-20Moderna Flu
42022-04-15Pfizer-BioNTech No

Free text

None.

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
SDBronchitis · · ✓
SDFatigue · · ✓
SDInfluenza like illness · · ✓

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