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X5V-60992-66025

3 vaccinations 2 coded responses 18 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
740 / OK
Registered
2021-02-25
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Registered in v-safe
  2. 2021-02-25
    Dose 1 — Moderna
  3. 2021-02-25
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  4. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-25
    Dose 2 — Moderna
  11. 2021-03-25
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Fast heart rate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-25
    Dose 3 — Moderna
  19. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · None
    Adult check-in
  20. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-10-25
    Survey response — 12 months, dose 3
    MedDRA: Diarrhoea, Pyrexia, Vomiting — Feeling: Poor · Be unable to work or attend school
    Free text: Vomiting, diarrhea, fever
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna
32021-10-25Moderna No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Fast heart rate

Release 12 — 12 months, dose 3

2022-10-25

Symptoms: Vomiting, diarrhea, fever

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
SDDiarrhoea · · ✓
SDPyrexia · · ✓
SDVomiting · · ✓
SROHeart rate increased ✓ ✓ ✓

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