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ECV-17403-85976

3 vaccinations 1 coded response 9 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
791 / TX
Registered
2022-03-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-30
    Dose 1 — Moderna
  2. 2021-08-27
    Dose 2 — Moderna
  3. 2022-03-17
    Registered in v-safe
  4. 2022-03-17
    Dose 3 — Moderna
  5. 2022-03-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2022-03-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  7. 2022-03-24
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  8. 2022-04-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  9. 2022-04-14
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  10. 2022-04-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  11. 2022-04-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  12. 2022-06-16
    Survey response — 3 months, dose 3
    MedDRA: Kidney infection, Nephrolithiasis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Kidney stones and kidney infection. Im pretty sure had nothing to do with my vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-06-16
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  14. 2022-06-17
  15. 2022-09-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-30Moderna No
22021-08-27Moderna No
32022-03-17Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 — 3 months, dose 3

2022-06-16

Symptoms: Kidney stones and kidney infection. Im pretty sure had nothing to do with my vaccine.

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
SDKidney infection · · ✓
SDNephrolithiasis · · ✓

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