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D53-30056-30533

4 vaccinations 3 coded responses 24 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
773 / TX
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
WDL-28190-50452 Child or adolescent in my care · Male · 2022-06-21

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-02-23
    Dose 2 — Moderna
  3. 2021-03-04
    Registered in v-safe
  4. 2021-03-04
    Survey response — day 7, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  6. 2021-03-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-03-23
    Survey response — day 28, dose 2
    MedDRA: Lymphadenopathy, Swelling — Feeling: Good
    Free text: Swollen arm lymphnode in armpit. Swellinf occured for 1 week before subsiding.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-10-18
    Dose 3 — Moderna
  13. 2021-10-26
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  14. 2021-11-01
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-11-08
    Survey response — day 21, dose 3
    MedDRA: Laryngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Laryngitis
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-11-08
    Report sent to call center — day 21, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  17. 2021-11-10
  18. 2021-11-11
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  19. 2021-11-15
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-11-22
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-11-29
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-01-17
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-04-18
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-09-19
    Dose 4 — Pfizer-BioNTech
  25. 2022-09-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  26. 2022-09-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache
    Adult check-in
  27. 2022-09-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-09-26
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-10-03
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-10-12
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-12-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  32. 2023-03-20
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-23Moderna
32021-10-18Moderna No
42022-09-19Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): Dizziness

Release 6 — day 28, dose 2

2021-03-23

Symptoms: Swollen arm lymphnode in armpit. Swellinf occured for 1 week before subsiding.

Release 10 — day 21, dose 3

2021-11-08

Symptoms: Laryngitis

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
SDLaryngitis · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SRODizziness ✓ ✓ ✓

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

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