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VD5-32519-50337

3 vaccinations 3 coded responses 35 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
421 / KY
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
XAY-15812-29687 Child or adolescent in my care · Male · 2022-06-21

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Moderna
  3. 2021-01-08
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  5. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Joint pains, Fatigue or tiredness, Diarrhea
    Adult check-in
  6. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Diarrhea
    Adult check-in
  7. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Diarrhea
    Adult check-in
  8. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  9. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-01
    Dose 2 — Moderna
  12. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Joint pains
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  15. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-25
    Dose 3 — Moderna
  24. 2021-10-25
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  25. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Palpitations — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Racing heart
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  27. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  33. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-08
    Survey response — day 42, dose 3
    MedDRA: Premature rupture of membranes — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Premature rupture of membranes
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-10-27
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-01Moderna
32021-10-25Moderna No

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Sore throat

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): Racing heart

Release 10 — day 42, dose 3

2021-12-08

Symptoms: Premature rupture of membranes

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
SDPremature rupture of membranes · · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPalpitations · · ✓

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

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