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AM5-53056-05011

3 vaccinations 3 coded responses 7 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
300 / GA
Registered
2022-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-26
    Dose 1 — Moderna
  2. 2021-05-24
    Dose 2 — Moderna
  3. 2021-12-17
    Dose 3 — Moderna
  4. 2022-01-07
    Registered in v-safe
  5. 2022-01-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  6. 2022-01-14
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  7. 2022-01-21
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  8. 2022-01-28
    Survey response — day 42, dose 3
    MedDRA: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Runny nose, sore throat · Healthcare visit (other): Covid PCR test
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-01-28
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  10. 2022-03-18
    Survey response — 3 months, dose 3
    MedDRA: Fatigue, Pregnancy, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I tested positive for Covid with a rapid home test with symptoms: fever for one day, fatigue for several days, congestion and runny nose for about 10 days. Light congestion has lingered since after having Covid, which I am attributing to pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-04-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  12. 2022-06-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  13. 2022-12-17
    Survey response — 12 months, dose 3
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: Cold like symptoms
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-26Moderna No
22021-05-24Moderna No
32021-12-17Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 11 — day 42, dose 3

2022-01-28

Symptoms: Runny nose, sore throat
Healthcare visit (other): Covid PCR test

Release 11 — 3 months, dose 3

2022-03-18

Symptoms: I tested positive for Covid with a rapid home test with symptoms: fever for one day, fatigue for several days, congestion and runny nose for about 10 days. Light congestion has lingered since after having Covid, which I am attributing to pregnancy cut off by CDC

Release 12 — 12 months, dose 3

2022-12-17

Symptoms: Cold like symptoms

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
HCVOSARS-CoV-2 test · · ✓
SDFatigue · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDPregnancy · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test positive · · ✓

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