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Z84-13681-34025

4 vaccinations 1 coded response 39 check-ins 0 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
982 / WA
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
UCD-17509-21157 Child or adolescent in my care · Male · 2022-08-08

Timeline

  1. 2021-01-16
    Registered in v-safe
  2. 2021-01-16
    Dose 1 — Moderna
  3. 2021-01-16
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  4. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-13
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-18
    Dose 2 — Moderna
  14. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  17. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-25
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache · Be unable to work
    Adult check-in
  20. 2021-03-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-10
    Dose 3 — Moderna
  28. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  29. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-12-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-12-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-12-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-31
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-07
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-16
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-23
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-03-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-06-10
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-10-14
    Dose 4 — Pfizer-BioNTech
  42. 2022-12-10
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2023-01-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2023-04-14
    Survey response — 6 months, dose 4
    MedDRA: Gastrointestinal disorder, Respiratory disorder — Feeling: Fair · Be unable to work or attend school
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-18Moderna
32021-12-10Moderna No
42022-10-14Pfizer-BioNTech 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

FieldPreferred term2021-092023-042024-11
SDGastrointestinal disorder · · ✓
SDRespiratory disorder · · ✓

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

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