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9CE-22278-74339

4 vaccinations 3 coded responses 20 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
660 / KS
Registered
2021-11-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
F3M-84341-70967 Child or adolescent in my care · Male · 2021-11-11
HGG-29966-13540 Child or adolescent in my care · Male · 2022-06-23

Timeline

  1. 2021-03-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-28
    Dose 2 — Pfizer-BioNTech
  3. 2021-11-02
    Dose 3 — Moderna
  4. 2021-11-11
    Registered in v-safe
  5. 2021-11-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-11-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  7. 2021-11-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  8. 2021-11-30
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  9. 2021-12-07
    Survey response — day 35, dose 3
    MedDRA: Cough, Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair
    Free text: Sore throat, cough, sinus drainage
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-12-14
    Survey response — day 42, dose 3
    MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Cough, congestion
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-14
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  12. 2021-12-16
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  13. 2022-02-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-05-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-09-14
    Dose 4 — Moderna
    Co-administered: Flu
  16. 2022-09-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  17. 2022-09-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  18. 2022-09-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  19. 2022-09-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  20. 2022-09-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  21. 2022-09-21
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  22. 2022-09-28
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-10-07
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-10-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-10-19
    Survey response — day 35, dose 4
    MedDRA: Cough, Oropharyngeal pain, Sinusitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Sinus infection, cough, sore throat.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-10-19
    Report sent to call center — day 35, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  27. 2022-10-20
  28. 2022-10-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-12-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-07Pfizer-BioNTech No
22021-03-28Pfizer-BioNTech No
32021-11-02Moderna No
42022-09-14Moderna Flu

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — day 35, dose 3

2021-12-07

Symptoms: Sore throat, cough, sinus drainage

Release 10 — day 42, dose 3

2021-12-14

Symptoms: Cough, congestion

Release 12 — day 35, dose 4

2022-10-19

Symptoms: Sinus infection, cough, sore throat.

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
SDCough · · ✓
SDOropharyngeal pain · · ✓
SDParanasal sinus hypersecretion · · ✓
SDRespiratory tract congestion · · ✓
SDSinusitis · · ✓

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

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