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AMB-25104-10583

3 vaccinations 0 coded responses 7 check-ins 0 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
454 / OH
Registered
2021-01-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-01-10
    Registered in v-safe
  3. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work
    Adult check-in
  4. 2021-01-10
  5. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Fatigue or tiredness
    Adult check-in
  6. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-06
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  11. 2021-02-20
    Dose 2 — Moderna
  12. 2021-11-15
    Dose 3 — Pfizer-BioNTech
  13. 2022-01-07
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-20Moderna No
32021-11-15Pfizer-BioNTech No

Call center

1 call center case

1 successful

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

No MedDRA codes.

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