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UBP-20538-05038

3 vaccinations 3 coded responses 7 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
030 / NH
Registered
2021-04-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-01
    Dose 1 — Moderna
  2. 2021-04-29
    Dose 2 — Moderna
  3. 2021-04-30
    Registered in v-safe
  4. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-07-29
    Survey response — 3 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Poor
    Free text: A cold
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-10-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-12-06
    Dose 3 — Moderna
  10. 2022-06-06
    Survey response — 6 months, dose 3
    MedDRA: Nasopharyngitis, Unevaluable event — Feeling: Good
    Free text: Non Covid cold/sinus
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-12-06
    Survey response — 12 months, dose 3
    MedDRA: Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Was sick for a couple weeks. Non COVID.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna
22021-04-29Moderna
32021-12-06Moderna No

Free text

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: A cold

Release 11 — 6 months, dose 3

2022-06-06

Symptoms: Non Covid cold/sinus

Release 12 — 12 months, dose 3

2022-12-06

Symptoms: Was sick for a couple weeks. Non COVID.

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
SDMalaise · · ✓
SDNasopharyngitis ✓ · ✓
SDUnevaluable event · · ✓

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