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X9K-77737-23853

3 vaccinations 0 coded responses 10 check-ins 0 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
190 / PA
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino
Registered dependents
2HN-86096-62318 Child or adolescent in my care · Female · 2021-11-19
F8X-33866-80983 Child or adolescent in my care · Male · 2021-11-19

Timeline

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-03-13
    Registered in v-safe
  3. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-09
    Dose 2 — Moderna
  9. 2021-04-10
    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, Nausea · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Poor
    Adult check-in
  12. 2021-11-19
    Dose 3 — Moderna
  13. 2021-11-19
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  14. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-09Moderna
32021-11-19Moderna No

Free text

None.

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

No MedDRA codes.

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