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J73-16350-11313

3 vaccinations 1 coded response 6 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
21-25
ZIP prefix
704 / LA
Registered
2021-05-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-07
    Dose 1 — Moderna
  2. 2021-05-04
    Registered in v-safe
  3. 2021-05-04
    Dose 2 — Moderna
  4. 2021-05-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-05-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  6. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2022-02-14
    Dose 3 — Moderna
  8. 2022-02-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea
    Adult check-in
  9. 2022-03-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  10. 2022-08-15
    Survey response — 6 months, dose 3
    MedDRA: Pneumonia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Pneumonia
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-08-15
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  12. 2022-08-16

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Moderna
22021-05-04Moderna
32022-02-14Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 — 6 months, dose 3

2022-08-15

Symptoms: Pneumonia

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
SDPneumonia · · ✓

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