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EWZ-57262-28348

4 vaccinations 2 coded responses 4 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
941 / CA
Registered
2022-12-23
Relationship
Self
Race
N/A
Ethnicity
N/A
Registered dependents
UJC-25577-12300 Child or adolescent in my care · Male · 2022-12-23

Timeline

  1. 2021-03-23
    Dose 1 — Moderna
  2. 2021-04-22
    Dose 2 — Moderna
  3. 2021-12-02
    Dose 3 — Moderna
  4. 2022-11-14
    Dose 4 — Moderna
  5. 2022-12-23
    Registered in v-safe
  6. 2022-12-23
    Survey response — day 35, dose 4
    MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: covid19
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-12-23
    Report sent to call center — day 35, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  8. 2022-12-26
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  9. 2022-12-27
  10. 2023-02-13
    Survey response — 3 months, dose 4
    MedDRA: Gastroenteritis viral, Vomiting — Feeling: Good
    MedDRA releases: 2024-11
  11. 2023-05-15
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna No
22021-04-22Moderna No
32021-12-02Moderna No
42022-11-14Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 — day 35, dose 4

2022-12-23

Symptoms: covid19

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
SDCOVID-19 · · ✓
SDGastroenteritis viral · · ✓
SDVomiting · · ✓

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