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W43-31211-39366

2 vaccinations 3 coded responses 18 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
773 / TX
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-01-15
    Registered in v-safe
  3. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  4. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast feeding — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: I am currently breastfeeding
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches
    Free text: (b)(6) in Texas.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  7. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-12
    Dose 2 — Moderna
  11. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Im 5 weeks pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  13. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Nausea
    Adult check-in
  15. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-12Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): I am currently breastfeeding

2021-01-18

Systemic reaction (other): (b)(6) in Texas.
redacted (b)(6)

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Im 5 weeks pregnant

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
SROBreast feeding ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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