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9JY-32058-64036

4 vaccinations 2 coded responses 26 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
394 / MS
Registered
2021-01-20
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-16
    Dose 1 — Moderna
  2. 2021-01-20
    Registered in v-safe
  3. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Erythema — Feeling: Good · Site: Redness
    Free text: I think the redness is from the bandaid
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  5. 2021-01-23
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  6. 2021-02-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-15
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-20
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-22
    Dose 2 — Moderna
  11. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-03-01
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  13. 2021-03-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-20
    Dose 3 — Moderna
  20. 2021-08-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-08-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-08-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-08-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-09-03
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-09-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-09-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-10-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-03-20
    Dose 4 — Moderna
  30. 2022-06-21
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-09-18
    Survey response — 6 months, dose 4
    MedDRA: Alopecia, COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Had COVID around 4th of July. Experiencing hair shedding still.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-09-18
    Report sent to call center — 6 months, dose 4
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  33. 2022-09-20
  34. 2022-09-23
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-22Moderna
32021-08-20Moderna No
42022-03-20Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): I think the redness is from the bandaid

Release 12 — 6 months, dose 4

2022-09-18

Symptoms: Had COVID around 4th of July. Experiencing hair shedding still.

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
SDAlopecia · · ✓
SDCOVID-19 · · ✓
SROErythema ✓ ✓ ✓

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

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