DFW-13521-95681
4 vaccinations
2 coded responses
42 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 970 / OR
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
-
2021-01-23
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-01-30
- 2021-02-06
- 2021-02-13
-
2021-02-17
Dose 2 — Moderna
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-18
-
2021-11-02
Dose 3 — Moderna
-
2021-11-02
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis, Syncope — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Faintness, sweating profuselyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-25
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-01
-
2022-05-03
Survey response — 6 months, dose 3MedDRA: Delivery, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Delivered a full term baby boy. · Healthcare visit (other): Normal prenatal and postnatal careMedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-05-04
Call successfulNot applicable - Accidental Reporting
-
2022-10-05
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-05
- 2022-11-05
- 2022-11-11
- 2022-11-16
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-10-05 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Faintness, sweating profusely
Release 11 — 6 months, dose 3
Symptoms: Delivered a full term baby boy.
Healthcare visit (other): Normal prenatal and postnatal care
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Syncope | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release