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ZLF-13941-46352

4 vaccinations 3 coded responses 20 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
801 / CO
Registered
2021-11-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
PEN-18128-29710 Child or adolescent in my care · Male · 2022-06-27
2N7-13822-43600 Child or adolescent in my care · Female · 2022-11-16

Timeline

  1. 2021-03-02
    Dose 1 — Moderna
  2. 2021-03-30
    Dose 2 — Moderna
  3. 2021-11-10
    Dose 3 — Moderna
  4. 2021-11-16
    Registered in v-safe
  5. 2021-11-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pregnancy — Feeling: Good
    Free text: 20 weeks pregnant at time of booster
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-11-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  7. 2021-11-24
    Survey response — day 14, dose 3
    MedDRA: Chills, Headache — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headache and some chills occured over the course of about two days last week.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-01
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  9. 2021-12-08
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  10. 2021-12-22
    Survey response — day 42, dose 3
    MedDRA: Fatigue, Headache, Nasopharyngitis, Sinus pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Symptoms of head cold, sinus pain, headache, fatigue
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-02-09
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  12. 2022-09-26
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  13. 2022-09-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Nausea
    Adult check-in
  14. 2022-09-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Itching · Headache
    Adult check-in
  15. 2022-09-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2022-09-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2022-10-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  18. 2022-10-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  19. 2022-10-03
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  20. 2022-10-10
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  21. 2022-10-17
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  22. 2022-10-25
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-10-31
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-11-07
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-12-26
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna No
22021-03-30Moderna No
32021-11-10Moderna No
42022-09-26Pfizer-BioNTech Flu

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-16

Systemic reaction (other): 20 weeks pregnant at time of booster

Release 10 — day 14, dose 3

2021-11-24

Symptoms: Headache and some chills occured over the course of about two days last week.

Release 10 — day 42, dose 3

2021-12-22

Symptoms: Symptoms of head cold, sinus pain, headache, fatigue

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
SDChills · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDNasopharyngitis · · ✓
SDSinus pain · · ✓
SROPregnancy · · ✓

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