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L3H-27154-59116

3 vaccinations 2 coded responses 14 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
110 / NY
Registered
2021-11-07
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino
Registered dependents
XQS-19683-43443 Child or adolescent in my care · Male · 2021-11-07

Timeline

  1. 2020-12-23
    Dose 1 — Moderna
  2. 2021-01-20
    Dose 2 — Moderna
  3. 2021-11-07
    Registered in v-safe
  4. 2021-11-10
    Dose 3 — Moderna
  5. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-11-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Nasal congestion — Feeling: Fair · Fatigue or tiredness
    Free text: Stuffy nose
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-11-17
    Health check-in — day 7, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  11. 2021-11-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  12. 2021-12-01
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-12-08
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-12-15
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-22
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-02-09
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-05-11
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-11-10
    Survey response — 12 months, dose 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I got COVID on 09/06/22
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-11-10
    Report sent to call center — 12 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
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  20. 2022-11-11

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna No
22021-01-20Moderna No
32021-11-10Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-14

Systemic reaction (other): Stuffy nose

Release 12 — 12 months, dose 3

2022-11-10

Symptoms: I got COVID on 09/06/22

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
SDCOVID-19 · · ✓
SRONasal congestion · · ✓

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