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HCM-13535-61794

4 vaccinations 6 coded responses 31 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
802 / CO
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Registered in v-safe
  2. 2021-02-04
    Dose 1 — Moderna
  3. 2021-02-04
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-04
    Dose 2 — Moderna
  14. 2021-03-04
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ageusia, Glossodynia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work
    Free text: Partial loss of taste, tongue sensitivity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness
    Free text: Difficulty sleeping but not sure its relatedo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-25
    Survey response — day 21, dose 2
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: Common cold symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-01
    Survey response — day 28, dose 2
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: Cold symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-02
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  29. 2021-10-29
    Dose 3 — Moderna
  30. 2022-03-04
    Survey response — 12 months, dose 2
    MedDRA: Abortion spontaneous, COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Got COVID in early January. Had a miscarriage as well but it seemed unrelated as the baby stopped growing before I became ill.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-03-04
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  32. 2022-03-07
    Call successful
    Does not wish to fill out VAERS report
  33. 2022-09-16
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  34. 2022-09-25
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-10-09
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  36. 2022-10-23
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  37. 2022-12-16
    Survey response — 3 months, dose 4
    MedDRA: Cough, Laryngitis, Malaise, Pregnancy, Rhinorrhoea — Feeling: Fair
    Free text: Pregnant, currently sick with cough, runny nose, laryngitis.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2023-03-19
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna
32021-10-29Moderna No
42022-09-16Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-03-04 Successful
2022-03-07
Does not wish to fill out VAERS report

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Partial loss of taste, tongue sensitivity

2021-03-08

Systemic reaction (other): Difficulty sleeping but not sure its relatedo

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Common cold symptoms

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Cold symptoms

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Got COVID in early January. Had a miscarriage as well but it seemed unrelated as the baby stopped growing before I became ill.

Release 12 — 3 months, dose 4

2022-12-16

Symptoms: Pregnant, currently sick with cough, runny nose, laryngitis.

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
SDAbortion spontaneous · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDLaryngitis · · ✓
SDMalaise · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDPregnancy · · ✓
SDRhinorrhoea · · ✓
SROAgeusia ✓ ✓ ✓
SROGlossodynia ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓

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