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8SR-14743-13112

4 vaccinations 2 coded responses 27 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
440 / OH
Registered
2021-01-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
42D-11080-41402 Child or adolescent in my care · Male · 2022-06-28
SQW-13934-12774 Child or adolescent in my care · Male · 2022-06-29

Timeline

  1. 2021-01-20
    Registered in v-safe
  2. 2021-01-20
    Dose 1 — Moderna
  3. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-17
    Dose 2 — Moderna
  12. 2021-02-17
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  14. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    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. 2021-02-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-09
    Dose 3 — Moderna
  28. 2022-02-17
    Survey response — 12 months, dose 2
    MedDRA: Nodal rhythm — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: accelerated junctional rhythm
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-02-17
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  30. 2022-02-18
  31. 2022-09-10
    Dose 4 — Pfizer-BioNTech
  32. 2022-09-12
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Headache
    Free text: Sore lymph node
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-09-17
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-09-24
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-17Moderna
32021-12-09Moderna No
42022-09-10Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — 12 months, dose 2

2022-02-17

Symptoms: accelerated junctional rhythm

Release 12 — days 1–6 daily, dose 4

2022-09-12

Systemic reaction (other): Sore lymph node

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
SDNodal rhythm · · ✓
SROLymph node pain · · ✓

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

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