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ATY-28067-70476

5 vaccinations 4 coded responses 23 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
598 / MT
Registered
2022-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
R88-33834-69590 Child or adolescent in my care · Male · 2022-12-08

Timeline

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-04-02
    Dose 2 — Moderna
  3. 2021-11-10
    Dose 3 — Moderna
  4. 2022-04-15
    Registered in v-safe
  5. 2022-04-15
    Dose 4 — Moderna
  6. 2022-04-15
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2022-04-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  9. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  11. 2022-04-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  12. 2022-04-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  13. 2022-04-22
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  14. 2022-04-29
    Survey response — day 14, dose 4
    MedDRA: Preterm premature rupture of membranes — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Preterm premature rupture of membranes (pprom) at 33 weeks of pregnancy.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-04-29
    Report sent to call center — day 14, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Hospitalization · 1 call case(s)
  16. 2022-05-03
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  17. 2022-05-07
    Survey response — day 21, dose 4
    MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: A very bad rash covering most of my abdomen. After consulting with my doctor, cause is still unknown.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-05-07
    Report sent to call center — day 21, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  19. 2022-05-10
  20. 2022-05-10
  21. 2022-05-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  22. 2022-07-15
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-09-21
    Dose 5 — Pfizer-BioNTech
  24. 2022-09-23
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  25. 2022-09-24
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  26. 2022-09-26
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  27. 2022-09-27
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  28. 2022-09-28
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  29. 2022-10-05
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  30. 2022-10-12
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  31. 2022-10-19
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  32. 2022-10-26
    Survey response — day 35, dose 5
    MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good
    Free text: Cold symptoms. Mild sore throat and congestion.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-11-02
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  34. 2022-12-21
    Survey response — 3 months, dose 5
    MedDRA: Exposure to communicable disease, Nasopharyngitis — Feeling: Fair
    Free text: Caught a bad cold, presumed to be RSV from my son, who tested positive for RSV and negative for Covid.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna No
22021-04-02Moderna No
32021-11-10Moderna No
42022-04-15Moderna No
52022-09-21Pfizer-BioNTech No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 11 — day 14, dose 4

2022-04-29

Symptoms: Preterm premature rupture of membranes (pprom) at 33 weeks of pregnancy.

Release 11 — day 21, dose 4

2022-05-07

Symptoms: A very bad rash covering most of my abdomen. After consulting with my doctor, cause is still unknown.

Release 12 — day 35, dose 5

2022-10-26

Symptoms: Cold symptoms. Mild sore throat and congestion.

Release 12 — 3 months, dose 5

2022-12-21

Symptoms: Caught a bad cold, presumed to be RSV from my son, who tested positive for RSV and negative for Covid.

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
SDExposure to communicable disease · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDPreterm premature rupture of membranes · · ✓
SDRash · · ✓
SDRespiratory tract congestion · · ✓

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