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KHK-25480-66082

3 vaccinations 1 coded response 23 check-ins 1 free-text entry 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
633 / MO
Registered
2021-04-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
QMV-12385-89005 Child or adolescent in my care · Female · 2022-09-01

Timeline

  1. 2021-03-15
    Dose 1 — Moderna
  2. 2021-04-12
    Dose 2 — Moderna
  3. 2021-04-16
    Registered in v-safe
  4. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  5. 2021-04-16
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  7. 2021-04-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-26
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-05-03
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-05-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-07-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-10-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-19
    Dose 3 — Moderna
  16. 2021-11-19
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  18. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches
    Adult check-in
  19. 2021-11-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Muscle or body aches
    Adult check-in
  20. 2021-11-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-11-28
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-12-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-12-10
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  24. 2021-12-17
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-12-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-12-31
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-02-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-02-24
  29. 2022-05-21
    Survey response — 6 months, dose 3
    MedDRA: Tonsillitis — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Tonsilitis
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-05-21
    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 · 1 call case(s)
  31. 2022-05-23
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  32. 2022-05-23
    Call successful
    Not applicable - Accidental Reporting

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna
22021-04-12Moderna
32021-11-19Moderna No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 11 — 6 months, dose 3

2022-05-21

Symptoms: Tonsilitis

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
SDTonsillitis · · ✓

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