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BTS-21802-21980

3 vaccinations 4 coded responses 32 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
300 / GA
Registered
2021-03-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Registered in v-safe
  2. 2021-03-08
    Dose 1 — Moderna
  3. 2021-03-08
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  5. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Diarrhea
    Adult check-in
  6. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Office visit — Feeling: Fair · Headache · Be unable to work, Get care from a doctor or other healthcare professional
    Free text: Neurologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-12
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  12. 2021-03-22
    Survey response — day 14, dose 1
    MedDRA: Dizziness — Feeling: Fair
    Free text: Light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-05
    Dose 2 — Moderna
  15. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Diarrhea
    Adult check-in
  17. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  19. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-16
    Dose 3 — Moderna
  30. 2021-11-16
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness
    Adult check-in
  31. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  32. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-02-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-03-02
  37. 2022-05-19
    Survey response — 6 months, dose 3
    MedDRA: Ectopic 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 · Hospitalization
    Free text: Ectopic pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-05-19
    Report sent to call center — 6 months, dose 3
    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)
  39. 2022-05-20
  40. 2022-11-16
    Survey response — 12 months, dose 3
    MedDRA: Ectopic pregnancy, Nasopharyngitis, Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Ectopic pregnancy, sinus infection, cold
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-11-16
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  42. 2022-11-17
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  43. 2022-11-17
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  44. 2022-11-17
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-05Moderna
32021-11-16Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-03-12 Successful
2022-11-17
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-19 Successful
2022-11-17
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-16 Successful
2022-11-17
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Healthcare visit (other): Neurologist

Release 6 — day 14, dose 1

2021-03-22

Symptoms: Light headed

Release 11 — 6 months, dose 3

2022-05-19

Symptoms: Ectopic pregnancy

Release 12 — 12 months, dose 3

2022-11-16

Symptoms: Ectopic pregnancy, sinus infection, cold

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
HCVOOffice visit ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDEctopic pregnancy · · ✓
SDNasopharyngitis · · ✓
SDSinusitis · · ✓

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

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