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G3G-13365-69544

4 vaccinations 2 coded responses 31 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
983 / WA
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
P8Y-12891-59483 Child or adolescent in my care · Female · 2022-06-25

Timeline

  1. 2021-02-10
    Registered in v-safe
  2. 2021-02-10
    Dose 1 — Moderna
  3. 2021-02-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  5. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  11. 2021-02-24
    Survey response — day 14, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: I developed a delayed rash around the infusion site that lasted for a week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-10
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-03-12
    Dose 2 — Moderna
  15. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-23
    Dose 3 — Moderna
  25. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-09-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-09-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-09-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-10-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-02-21
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-03-20
    Dose 4 — Moderna
  34. 2022-06-26
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-09-18
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  36. 2023-03-20
    Survey response — 12 months, dose 4
    MedDRA: Autoimmune thyroiditis, Colitis ulcerative — Feeling: Good · 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
    MedDRA releases: 2024-11
  37. 2023-03-20
    Report sent to call center — 12 months, dose 4
    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 · 1 call case(s)
  38. 2023-03-21

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-12Moderna
32021-08-23Moderna No
42022-03-20Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-24

Symptoms: I developed a delayed rash around the infusion site that lasted for a week.

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
SDAutoimmune thyroiditis · · ✓
SDColitis ulcerative · · ✓
SDRash ✓ ✓ ✓

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

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