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D5T-16093-29313

3 vaccinations 1 coded response 34 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
786 / TX
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Registered in v-safe
  2. 2021-03-03
    Dose 1 — Moderna
  3. 2021-03-03
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Survey response — day 14, dose 1
    MedDRA: Pain in extremity, Rash, Vaccination site reaction — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Arm rash and soreness beginning on day 7 after vaccination and lasting for 6 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-17
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-03-20
  13. 2021-03-22
  14. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-03-31
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-04-01
    Dose 2 — Moderna
  17. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-03
    Dose 3 — Moderna
  27. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  28. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  29. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-02-02
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-05-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-11-03
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-04-01Moderna
32021-11-03Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-17

Symptoms: Arm rash and soreness beginning on day 7 after vaccination and lasting for 6 days.

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
SDPain in extremity ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDVaccination site reaction ✓ ✓ ✓

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

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