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UPK-12747-80811

4 vaccinations 1 coded response 31 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
953 / CA
Registered
2021-09-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
3QF-16474-68735 Child or adolescent in my care · Male · 2022-10-15
M6D-23255-70525 Child or adolescent in my care · Female · 2022-12-16

Timeline

  1. 2021-08-17
    Dose 1 — Moderna
  2. 2021-09-14
    Dose 2 — Moderna
  3. 2021-09-15
    Registered in v-safe
  4. 2021-09-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-09-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-09-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-09-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-09-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-09-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  10. 2021-09-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-09-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-10-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-10-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-10-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-10-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-12-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-03-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-03-18
    Dose 3 — Moderna
  19. 2022-04-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-06-17
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-09-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-10-14
    Dose 4 — Moderna
    Co-administered: Flu
  23. 2022-10-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  24. 2022-10-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  25. 2022-10-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-10-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-10-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-10-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-10-21
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  30. 2022-10-28
    Survey response — day 14, dose 4
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair
    Free text: Cough, chest congestion.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-11-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-11-11
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-11-18
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-11-25
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  35. 2023-01-13
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  36. 2023-04-14
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-17Moderna No
22021-09-14Moderna No
32022-03-18Moderna No
42022-10-14Moderna Flu

Free text

Release 12 — day 14, dose 4

2022-10-28

Symptoms: Cough, chest congestion.

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
SDCough · · ✓
SDRespiratory tract congestion · · ✓

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

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