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DP9-17392-48798

5 vaccinations 3 coded responses 41 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
921 / CA
Registered
2020-12-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
NHB-14424-70462 Child or adolescent in my care · Male · 2022-07-09

Timeline

  1. 2020-12-26
    Registered in v-safe
  2. 2020-12-26
    Dose 1 — Moderna
  3. 2020-12-26
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-02
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Muscle or body aches
    Adult check-in
  11. 2021-01-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-23
    Dose 2 — Moderna
  14. 2021-01-23
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  15. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  17. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache
    Adult check-in
  18. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-01-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-06
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-13
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-20
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-02-27
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-06
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-04-24
    Survey response — 3 months, dose 2
    MedDRA: Gestational diabetes, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Gestational diabetes (cant remember if I had that diagnosis at my last check-in or not). I had pre-diabetes before my pregnancy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-04-24
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-05-17
  30. 2021-07-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-11-06
    Dose 3 — Moderna
  32. 2021-11-15
  33. 2021-11-16
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  34. 2022-01-23
    Survey response — 12 months, dose 2
    MedDRA: Latent autoimmune diabetes in adults, Type 1 diabetes mellitus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: New diagnosis: insulin dependent diabetes (latent autoimmune diabetes of adulthood)
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-01-23
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  36. 2022-01-25
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  37. 2022-05-10
    Dose 4 — Moderna
  38. 2022-08-11
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-09-08
    Dose 5 — Moderna
    Co-administered: Flu
  40. 2022-09-08
    Health check-in — day 0, dose 5
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  41. 2022-09-09
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  42. 2022-09-10
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  43. 2022-09-11
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  44. 2022-09-12
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  45. 2022-09-14
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  46. 2022-09-17
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  47. 2022-09-23
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  48. 2022-09-29
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  49. 2022-10-07
    Survey response — day 28, dose 5
    MedDRA: Cough, Nasopharyngitis — Feeling: Fair
    Free text: Cough and cold
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-10-15
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-10-20
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  52. 2022-12-08
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  53. 2023-03-10
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-26Moderna
22021-01-23Moderna
32021-11-06Moderna No
42022-05-10Moderna No
52022-09-08Moderna Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — 3 months, dose 2

2021-04-24

Symptoms: Gestational diabetes (cant remember if I had that diagnosis at my last check-in or not). I had pre-diabetes before my pregnancy.

Release 11 — 12 months, dose 2

2022-01-23

Symptoms: New diagnosis: insulin dependent diabetes (latent autoimmune diabetes of adulthood)

Release 12 — day 28, dose 5

2022-10-07

Symptoms: Cough and cold

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
SDCough · · ✓
SDGestational diabetes ✓ ✓ ✓
SDLatent autoimmune diabetes in adults · · ✓
SDNasopharyngitis · · ✓
SDPre-existing disease ✓ ✓ ✓
SDType 1 diabetes mellitus · · ✓

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

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