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VWW-57557-43768

4 vaccinations 2 coded responses 15 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
945 / CA
Registered
2021-01-15
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino
Registered dependents
H8A-94224-83751 Child or adolescent in my care · Female · 2022-06-23
82T-22856-95619 Child or adolescent in my care · Female · 2022-06-23

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-12
    Dose 2 — Moderna
  10. 2021-07-16
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-10-22
    Dose 3 — Moderna
  12. 2021-10-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness
    Free text: Lymphadenopathy
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-10-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  15. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  16. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  17. 2021-10-31
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  18. 2021-11-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-11-26
    Survey response — day 35, dose 3
    MedDRA: Pain in jaw — Feeling: Fair
    Free text: Jaw pain
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-05-03
    Dose 4 — Moderna

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna No
32021-10-22Moderna No
42022-05-03Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-23

Systemic reaction (other): Lymphadenopathy

Release 10 — day 35, dose 3

2021-11-26

Symptoms: Jaw pain

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
SDPain in jaw · · ✓
SROLymphadenopathy · · ✓

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

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