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EX8-22936-58848

4 vaccinations 2 coded responses 35 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
070 / NJ
Registered
2020-12-30
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-27
    Dose 2 — Moderna
  14. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-28
    Survey response — 3 months, dose 2
    MedDRA: Pregnancy, Stillbirth — Feeling: Poor · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Pregnancy stillbirth · Healthcare visit (other): Stillbirth delivery
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-28
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-05-19
  23. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-25
    Dose 3 — Moderna
  25. 2021-08-25
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  26. 2021-08-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling
    Free text: Axillary lymphadenopathy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-08-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-08-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-08-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-09-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-09-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-09-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-09-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-10-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-02-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-08-25
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-09-28
    Dose 4 — Moderna
  39. 2022-10-20
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-10-28
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-11-04
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-12-30
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna
32021-08-25Moderna No
42022-09-28Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-04-28 Unsuccessful

Free text

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Pregnancy stillbirth
Healthcare visit (other): Stillbirth delivery

Release 9 — days 1–6 daily, dose 3

2021-08-27

Systemic reaction (other): Axillary lymphadenopathy

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
HCVOStillbirth ✓ ✓ ✓
SDPregnancy ✓ ✓ ✓
SDStillbirth ✓ ✓ ✓
SROLymphadenopathy ✓ · ✓

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

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