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
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2021-03-04
Dose 1 — Moderna
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2021-04-02
Dose 2 — Moderna
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2021-11-10
Dose 3 — Moderna
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2022-04-15
Registered in v-safe
-
2022-04-15
Dose 4 — Moderna
-
2022-04-15
Health check-in — day 0, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
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2022-04-29
Survey response — day 14, dose 4MedDRA: 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 · HospitalizationFree text: Preterm premature rupture of membranes (pprom) at 33 weeks of pregnancy.MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Report sent to call center — day 14, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
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2022-05-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-07
Survey response — day 21, dose 4MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
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2022-05-07
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-10
- 2022-05-10
- 2022-05-14
- 2022-07-15
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2022-09-21
Dose 5 — Pfizer-BioNTech
- 2022-09-23
- 2022-09-24
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
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2022-10-26
Survey response — day 35, dose 5MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: GoodFree text: Cold symptoms. Mild sore throat and congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
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2022-12-21
Survey response — 3 months, dose 5MedDRA: Exposure to communicable disease, Nasopharyngitis — Feeling: FairFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | No |
| 2 | 2021-04-02 | Moderna | No |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
| 5 | 2022-09-21 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 11 — day 14, dose 4
Symptoms: Preterm premature rupture of membranes (pprom) at 33 weeks of pregnancy.
Release 11 — day 21, dose 4
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
Symptoms: Cold symptoms. Mild sore throat and congestion.
Release 12 — 3 months, dose 5
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Exposure to communicable disease | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Preterm premature rupture of membranes | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release