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6VW-15784-97217

4 vaccinations 4 coded responses 9 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
759 / TX
Registered
2022-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
7HR-32904-39547 Child or adolescent in my care · Female · 2022-01-07

Timeline

  1. 2021-01-04
    Dose 1 — Moderna
  2. 2021-02-01
    Dose 2 — Moderna
  3. 2021-08-25
    Dose 3 — Moderna
  4. 2022-01-07
    Registered in v-safe
  5. 2022-02-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  6. 2022-04-05
    Dose 4 — Moderna
  7. 2022-04-15
    Survey response — day 7, dose 4
    MedDRA: Pain — Feeling: Good
    Free text: I did have body aches that hit me quickly on April 6th the following day after Vaccine#4 but that was it those subsided within the next 24hrs
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-04-19
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  9. 2022-04-26
    Survey response — day 21, dose 4
    MedDRA: Body temperature increased, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair
    Free text: Cold like symptoms only I think it's all pollen driven Couldn't wait for Spring to be sprung and ugh, I've been knocked down with a Spring cold. Low grade temp and congestion. Have not COVID tested
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-05-03
    Survey response — day 28, dose 4
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: Still trying to knock whatever cold this is I have. I don't think it's related to COVID at all
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-05-10
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  12. 2022-05-17
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  13. 2022-10-04
    Survey response — 6 months, dose 4
    MedDRA: Medical counselling, Oropharyngeal pain, Pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Sore throat, temp, body aches · Healthcare visit (other): My husband is a physician and I took Paxlovid
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-10-04
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  15. 2022-10-05
  16. 2023-04-05
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna No
22021-02-01Moderna No
32021-08-25Moderna No
42022-04-05Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — day 7, dose 4

2022-04-15

Systemic reaction (other): I did have body aches that hit me quickly on April 6th the following day after Vaccine#4 but that was it those subsided within the next 24hrs

Release 11 — day 21, dose 4

2022-04-26

Symptoms: Cold like symptoms only I think it's all pollen driven Couldn't wait for Spring to be sprung and ugh, I've been knocked down with a Spring cold. Low grade temp and congestion. Have not COVID tested

Release 11 — day 28, dose 4

2022-05-03

Symptoms: Still trying to knock whatever cold this is I have. I don't think it's related to COVID at all

Release 12 — 6 months, dose 4

2022-10-04

Symptoms: Sore throat, temp, body aches
Healthcare visit (other): My husband is a physician and I took Paxlovid

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
HCVOMedical counselling · · ✓
SDBody temperature increased · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDRespiratory tract congestion · · ✓
SDUnevaluable event · · ✓
SROPain · · ✓

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