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W9S-21495-91776

1 vaccination 2 coded responses 3 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
065 / CT
Registered
2021-06-03
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-05-27
    Dose 1 — Moderna
  2. 2021-06-03
    Registered in v-safe
  3. 2021-06-03
    Survey response — day 7, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Poor · Fever · Headache, Muscle or body aches, Nausea, Vomiting · Be unable to do your normal daily activities
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-06-10
    Survey response — day 14, dose 1
    MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Frequent headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-17
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-27Moderna

Free text

Release 8 — day 7, dose 1

2021-06-03

Systemic reaction (other): Sore throat

Release 9 — day 14, dose 1

2021-06-10

Symptoms: Frequent headaches

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
SDHeadache ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓

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

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