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V3F-18757-70876

3 vaccinations 2 coded responses 36 check-ins 2 free-text entries 0 call cases
Sex
Male
Age at first dose
36-40
ZIP prefix
503 / IA
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
ZRG-12408-91837 Child or adolescent in my care · Female · 2021-11-08
HX9-32940-15021 Child or adolescent in my care · Female · 2021-11-08

Timeline

  1. 2021-01-06
    Registered in v-safe
  2. 2021-01-06
    Dose 1 — Moderna
  3. 2021-01-06
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  6. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  7. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-03
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-04
    Dose 2 — Moderna
  13. 2021-02-04
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Nausea
    Adult check-in
  14. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nocturia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Nocturia with possible polyuria
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  16. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-12
    Dose 3 — Pfizer-BioNTech
  29. 2021-11-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Middle insomnia — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Nausea, Diarrhea
    Free text: Insomnia (maintenance)
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fever · None
    Adult check-in
  35. 2021-11-28
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-05
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-17
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-24
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-02-11
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  40. 2022-05-14
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-04Moderna
32021-11-12Pfizer-BioNTech No

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Nocturia with possible polyuria

Release 10 — days 1–6 daily, dose 3

2021-11-13

Systemic reaction (other): Insomnia (maintenance)

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
SROMiddle insomnia · · ✓
SRONocturia ✓ ✓ ✓

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

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