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9ZA-20030-37958

3 vaccinations 3 coded responses 27 check-ins 3 free-text entries 3 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
846 / UT
Registered
2021-01-13
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Registered in v-safe
  2. 2021-01-13
    Dose 1 — Moderna
  3. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  4. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-10
    Dose 2 — Moderna
  13. 2021-02-10
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  14. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches
    Adult check-in
  15. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  16. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · None
    Adult check-in
  17. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  18. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-11
    Survey response — 6 months, dose 2
    MedDRA: Urinary tract infection — 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: UTI
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-08-11
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-08-13
  30. 2021-12-29
    Dose 3 — Moderna
  31. 2022-02-10
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Hypertension, Pre-eclampsia, Pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Pregnancy High blood pressure Preeclempsia Covid
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-02-10
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  33. 2022-02-14
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  34. 2022-06-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-12-29
    Survey response — 12 months, dose 3
    MedDRA: Cough, Ear pain, Nasopharyngitis, Oropharyngeal pain, Pyrexia — 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: Cough Cold Fever Sore throat Ear pain
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-12-29
    Report sent to call center — 12 months, dose 3
    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)
  37. 2022-12-30

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-10Moderna
32021-12-29Moderna No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: UTI

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Pregnancy High blood pressure Preeclempsia Covid

Release 12 — 12 months, dose 3

2022-12-29

Symptoms: Cough Cold Fever Sore throat Ear pain

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 · · ✓
SDCOVID-19 · · ✓
SDEar pain · · ✓
SDHypertension · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDPre-eclampsia · · ✓
SDPregnancy · · ✓
SDPyrexia · · ✓
SDUrinary tract infection ✓ · ✓

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