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VKB-12746-07587

3 vaccinations 3 coded responses 21 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
112 / NY
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
E42-32310-25735 Child or adolescent in my care · Male · 2021-11-13

Timeline

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-25
    Dose 2 — Moderna
  10. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  11. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper — Feeling: Good · Site: Swelling · Headache, Fatigue or tiredness, Nausea
    Free text: Stomach ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  14. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-03
    Dose 3 — Moderna
  18. 2021-11-13
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  19. 2021-11-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-11-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-12-01
    Survey response — day 28, dose 3
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Allergies
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-02-02
    Survey response — 3 months, dose 3
    MedDRA: COVID-19 — Feeling: Good
    Free text: Covid
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-05-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna
32021-11-03Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Stomach ache

Release 10 — day 28, dose 3

2021-12-01

Symptoms: Allergies

Release 11 — 3 months, dose 3

2022-02-02

Symptoms: 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
SDCOVID-19 · · ✓
SDPre-existing disease · · ✓
SROAbdominal pain upper ✓ ✓ ✓

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

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