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96R-87236-85410

2 vaccinations 2 coded responses 18 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
664 / KS
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Dose 1 — Moderna
  2. 2020-12-29
    Registered in v-safe
  3. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-13
    Survey response — day 21, dose 1
    MedDRA: COVID-19 — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Diagnosed with COVID on 1/7
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-13
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  7. 2021-01-20
    Dose 2 — Moderna
  8. 2021-01-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Headache, Nausea
    Free text: Pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  12. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-01-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-02
  16. 2021-02-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-02-11
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  19. 2021-02-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-01-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-20Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — day 21, dose 1

2021-01-13

Symptoms: Diagnosed with COVID on 1/7

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Pregnant

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
SDCOVID-19 ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓

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

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