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5FW-27955-95636

3 vaccinations 3 coded responses 29 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
760 / TX
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-06
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Diarrhea
    Adult check-in
  9. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-29
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  13. 2021-04-03
    Health check-in — day 28, single dose
    Feeling: Good
    Adult check-in
  14. 2021-04-10
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  15. 2021-04-17
    Survey response — day 42, single dose
    MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: Good
    Free text: A cold with some nasal discharge
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-05
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-09-04
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2021-10-25
    Dose 2 — Moderna
  19. 2021-10-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-11-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-11-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-12-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-12-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-01-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-04-25
    Survey response — 6 months, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-09-13
    Dose 3 — Moderna
    Co-administered: Flu
  29. 2022-09-30
    Survey response — day 14, dose 3
    MedDRA: Gestational diabetes, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Diagnosis of gestational diabetes · Healthcare visit (other): Specialist
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-09-30
    Report sent to call center — day 14, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2022-10-04
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-10-04
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  33. 2022-10-11
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-12-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2023-03-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Janssen/Johnson & Johnson
22021-10-25Moderna No
32022-09-13Moderna Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-09-30 Successful
2022-10-04
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — day 42, single dose

2021-04-17

Symptoms: A cold with some nasal discharge

Release 11 — 6 months, dose 2

2022-04-25

Symptoms: Pregnant

Release 12 — day 14, dose 3

2022-09-30

Symptoms: Diagnosis of gestational diabetes
Healthcare visit (other): Specialist

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
HCVOOffice visit · · ✓
SDGestational diabetes · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDPregnancy · · ✓
SDRhinorrhoea ✓ ✓ ✓

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

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