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UAV-21192-09773

3 vaccinations 1 coded response 23 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
786 / TX
Registered
2021-04-01
Relationship
Self
Race
White
Ethnicity
N/A
Registered dependents
4MT-12529-70019 Child or adolescent in my care · Female · 2022-07-12
4SG-71253-27664 Child or adolescent in my care · Female · 2022-07-12

Timeline

  1. 2021-04-01
    Registered in v-safe
  2. 2021-04-01
    Dose 1 — Moderna
  3. 2021-04-01
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-04-08
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-04-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-30
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-01
    Dose 2 — Moderna
  14. 2021-05-01
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  17. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-05-10
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-05-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-01-16
    Dose 3 — Moderna
  25. 2022-05-01
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-07-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  27. 2023-01-16
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna
22021-05-01Moderna
32022-01-16Moderna No

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): Dizziness

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
SRODizziness ✓ ✓ ✓

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

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