KVD-48952-12807
4 vaccinations
5 coded responses
52 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 800 / CO
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
BQC-21148-60552
Child or adolescent in my care · Male · 2022-03-15
NHP-24214-98546
Child or adolescent in my care · Female · 2022-07-07
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Moderna
- 2020-12-22
- 2020-12-23
-
2020-12-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-25
- 2020-12-26
-
2020-12-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2020-12-28
- 2020-12-29
- 2021-01-05
- 2021-01-12
-
2021-01-19
Dose 2 — Moderna
- 2021-01-19
-
2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-04-20
- 2021-07-20
-
2021-10-30
Dose 3 — Moderna
-
2021-10-30
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Syncope — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: SyncopeMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-11-03
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
-
2021-11-27
Survey response — day 28, dose 3MedDRA: Chest pain — Feeling: GoodFree text: Sternal pain. Comes and goes, but have never had pain there before.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-12
- 2022-01-30
- 2022-04-30
-
2022-10-05
Dose 4 — Pfizer-BioNTech
-
2022-10-06
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2022-10-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
-
2022-11-16
Survey response — day 42, dose 4MedDRA: Respiratory syncytial virus infection — Feeling: FairFree text: RSVMedDRA releases: 2024-11 · check-in free text available
-
2023-01-04
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, Sinusitis — Feeling: GoodMedDRA releases: 2024-11
-
2023-04-05
Survey response — 6 months, dose 4MedDRA: Ear infection, Pharyngitis streptococcal, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-05
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-06
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-10-05 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Syncope
Release 10 — day 28, dose 3
Symptoms: Sternal pain. Comes and goes, but have never had pain there before.
Release 12 — day 42, dose 4
Symptoms: RSV
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chest pain | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Syncope | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release