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9JD-29401-25445

3 vaccinations 1 coded response 29 check-ins 0 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
832 / ID
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
KRF-75599-84341 Adult relative or friend · Male · 2022-03-18
N25-70443-18170 Child or adolescent in my care · Male · 2022-03-18

Timeline

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-25
    Dose 2 — Moderna
  12. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  13. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-02-04
    Dose 3 — Pfizer-BioNTech
  27. 2022-02-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-02-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-03-13
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-03-18
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-05-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-08-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2023-02-04
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Cardiac disorder — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    MedDRA releases: 2024-11
  34. 2023-02-04
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · 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)
  35. 2023-02-06

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna
32022-02-04Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

None.

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
SDCardiac disorder · · ✓
SDCOVID-19 · · ✓

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

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