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XNY-12378-03359

2 vaccinations 2 coded responses 6 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
141 / NY
Registered
2021-06-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-16
    Dose 1 — Moderna
  2. 2021-05-14
    Dose 2 — Moderna
  3. 2021-06-17
    Registered in v-safe
  4. 2021-06-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-06-18
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  6. 2021-06-25
    Survey response — day 42, dose 2
    MedDRA: Cough, Oropharyngeal pain — Feeling: Poor
    Free text: Sore throat & cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-08-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-11-12
    Survey response — 6 months, dose 2
    MedDRA: Dizziness, Vision blurred — Feeling: Fair · Be unable to work or attend school
    Free text: One day I have blurred vision and faint feeling in my legs but fine since then
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-05-14
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna
22021-05-14Moderna

Free text

Release 9 — day 42, dose 2

2021-06-25

Symptoms: Sore throat & cough

Release 10 — 6 months, dose 2

2021-11-12

Symptoms: One day I have blurred vision and faint feeling in my legs but fine since then

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
SDCough ✓ ✓ ✓
SDDizziness · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDVision blurred · · ✓

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