DFB-20648-37680
3 vaccinations
4 coded responses
28 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 222 / VA
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2PL-95319-83885
Child or adolescent in my care · Female · 2021-11-08
L87-15321-30020
Child or adolescent in my care · Female · 2021-11-08
Timeline
-
2021-03-24
Dose 1 — Moderna
-
2021-04-21
Registered in v-safe
-
2021-04-21
Dose 2 — Moderna
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-20
-
2021-12-03
Dose 3 — Moderna
- 2021-12-03
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Armpit painMedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Good · Site: PainFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-12
- 2021-12-17
- 2021-12-24
- 2022-01-07
- 2022-01-16
-
2022-03-04
Survey response — 3 months, dose 3MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bilateral Armpit rashMedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-16
Call successfulNot applicable - Accidental Reporting
-
2022-06-05
Survey response — 6 months, dose 3MedDRA: Bronchitis, COVID-19, Pneumonia — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Bronchitis or pneumonia COVID positiveMedDRA releases: 2024-11 · check-in free text available
-
2022-06-05
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-06
- 2022-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Armpit pain
Systemic reaction (other): Sore throat
Release 11 — 3 months, dose 3
Symptoms: Bilateral Armpit rash
Release 11 — 6 months, dose 3
Symptoms: Bronchitis or pneumonia COVID positive
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Bronchitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release