XYH-67916-63545
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 967 / HI
- Registered
- 2021-10-11
- Relationship
- Child or adolescent in my care
- Guardian
- KK6-18330-39437
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-11
Registered in v-safe
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2021-10-11
Dose 1 — Moderna
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2021-10-11
Health check-in — day 0, dose 1, dependentFeeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
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2021-10-12
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
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2021-10-13
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-10-15
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2021-10-16
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-17
Survey response — days 1–6 daily, dose 1, dependentMedDRA: Dizziness, Dysstasia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dizzy and wonky when standingMedDRA releases: 2024-11 · check-in free text available
- 2021-10-20
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2021-10-25
Survey response — day 14, dose 1, dependentMedDRA: Vaccination site pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pain in arm where vaccine was given.MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — day 21, dose 1, dependentMedDRA: Pain in extremity — Feeling: FairFree text: Arm sorenessMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Dose 2 — Pfizer-BioNTech
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2021-11-10
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-12
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-13
- 2021-11-14
- 2021-11-16
- 2021-11-23
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2021-11-30
Survey response — day 21, dose 2, dependentMedDRA: Chest pain, Fatigue, Irritability, Mass, Neck mass — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Lumps in legs, knee, nape of neck. Tired, grouchy, chest pain.MedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Survey response — day 28, dose 2, dependentMedDRA: Arthralgia, Mass, Pain — Feeling: Fair · Be unable to work or attend schoolFree text: Body aches joints and lumpsMedDRA releases: 2024-11 · check-in free text available
- 2022-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-11 | Moderna | No |
| 2 | 2021-11-09 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 1, dependent
Systemic reaction (other): Dizzy and wonky when standing
Release 10 — day 14, dose 1, dependent
Symptoms: Pain in arm where vaccine was given.
Release 10 — day 21, dose 1, dependent
Symptoms: Arm soreness
Release 10 — day 21, dose 2, dependent
Symptoms: Lumps in legs, knee, nape of neck. Tired, grouchy, chest pain.
Release 10 — day 28, dose 2, dependent
Symptoms: Body aches joints and lumps
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Irritability | · | · | ✓ |
| SD | Mass | · | · | ✓ |
| SD | Neck mass | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Vaccination site pain | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dysstasia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release