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C6Z-25950-68364

2 vaccinations 1 coded response 1 check-in 1 free-text entry 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
970 / OR
Registered
2021-12-13
Relationship
Self
Race
Native Hawaiian or other Pacific Islander
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-13
    Dose 1 — Moderna
  2. 2021-05-11
    Dose 2 — Moderna
  3. 2021-12-13
    Registered in v-safe
  4. 2022-05-11
    Survey response — 12 months, dose 2
    MedDRA: COVID-19 — 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
    Free text: Covid
    MedDRA releases: 2024-11 · check-in free text available
  5. 2022-05-11
    Report sent to call center — 12 months, dose 2
    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 · 1 call case(s)
  6. 2022-05-12

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna No
22021-05-11Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — 12 months, dose 2

2022-05-11

Symptoms: 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
SDCOVID-19 · · ✓

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