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C72-54136-52923

4 vaccinations 1 coded response 28 check-ins 0 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
303 / GA
Registered
2021-01-17
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino
Registered dependents
H9A-22286-19134 Child or adolescent in my care · Male · 2022-06-26
TRP-10135-16102 Child or adolescent in my care · Male · 2023-03-22

Timeline

  1. 2021-01-17
    Registered in v-safe
  2. 2021-01-17
    Dose 1 — Moderna
  3. 2021-01-17
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  4. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  7. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-01-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-14
    Dose 2 — Moderna
  12. 2021-02-14
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  17. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-02-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-17
    Dose 3 — Moderna
  28. 2022-02-14
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-02-16
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-05-18
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-11-06
    Dose 4 — Moderna
  32. 2022-11-17
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2023-05-07
    Survey response — 6 months, dose 4
    MedDRA: Heart rate increased, Hypoaesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    MedDRA releases: 2024-11
  34. 2023-05-07
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  35. 2023-05-08
  36. 2023-05-08
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-01-17Moderna
22021-02-14Moderna
32021-11-17Moderna No
42022-11-06Moderna 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

FieldPreferred term2021-092023-042024-11
SDHeart rate increased · · ✓
SDHypoaesthesia · · ✓

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

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