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XBX-35692-65240

3 vaccinations 1 coded response 20 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
034 / NH
Registered
2021-04-21
Relationship
Self
Race
White
Ethnicity
N/A
Registered dependents
6VJ-25170-74201 Child or adolescent in my care · Male · 2021-12-15

Timeline

  1. 2021-04-20
    Dose 1 — Moderna
  2. 2021-04-21
    Registered in v-safe
  3. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-18
    Dose 2 — Moderna
  9. 2021-07-20
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-10-19
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-12-14
    Dose 3 — Moderna
    Co-administered: Flu
  12. 2021-12-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-12-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  14. 2021-12-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  15. 2021-12-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  16. 2021-12-23
    Survey response — day 7, dose 3
    MedDRA: Pregnancy test positive — Feeling: Good
    Free text: Positive pregnancy test
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-12-30
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-01-04
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-01-11
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-01-18
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-01-25
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-03-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-06-14
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-12-16
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-20Moderna
22021-05-18Moderna No
32021-12-14Moderna Flu

Free text

Release 10 — day 7, dose 3

2021-12-23

Systemic reaction (other): Positive pregnancy test

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
SROPregnancy test positive · · ✓

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

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