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Z5P-15159-49482

1 vaccination 1 coded response 2 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
222 / VA
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Dose 1 — Moderna
  2. 2021-03-16
    Registered in v-safe
  3. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Arm sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Arm sore

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
SROPain in extremity ✓ ✓ ✓

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

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