DN6-17606-22315
5 vaccinations
3 coded responses
35 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 430 / OH
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
274-26912-21145
Child or adolescent in my care · Female · 2022-06-25
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-26
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
-
2021-04-18
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
- 2021-05-14
- 2021-08-12
-
2021-10-28
Dose 3 — Moderna
-
2022-02-11
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: I've had cold symptoms a couple times but never tested positive for COVID-19, despite multiple at-home and PCR tests.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Dose 4 — Moderna
- 2022-06-25
- 2022-06-28
-
2022-07-05
Survey response — day 42, dose 4MedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: FairFree text: Tested positive for Covid. Cough, congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-23
-
2022-09-16
Dose 5 — ModernaCo-administered: Flu
- 2022-10-09
- 2022-10-14
- 2022-10-21
- 2022-10-28
-
2022-12-16
Survey response — 3 months, dose 5MedDRA: Adverse drug reaction, Bronchitis, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · 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 from a cold. Covid pcr negative. Rash from azithromycin prescribed for bronchitis.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-16
Report sent to call center — 3 months, dose 5Get 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)
- 2022-12-20
-
2022-12-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
| 5 | 2022-09-16 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 11 — 12 months, dose 2
Symptoms: I've had cold symptoms a couple times but never tested positive for COVID-19, despite multiple at-home and PCR tests.
Release 12 — day 42, dose 4
Symptoms: Tested positive for Covid. Cough, congestion.
Release 12 — 3 months, dose 5
Symptoms: Bronchitis from a cold. Covid pcr negative. Rash from azithromycin prescribed for bronchitis.
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 | Adverse drug reaction | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release