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MA4-16933-41580

4 vaccinations 5 coded responses 29 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
540 / WI
Registered
2021-04-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
ZB2-80757-10962 Child or adolescent in my care · Male · 2022-07-24

Timeline

  1. 2021-04-16
    Registered in v-safe
  2. 2021-04-16
    Dose 1 — Moderna
  3. 2021-04-16
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  4. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  8. 2021-04-25
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  9. 2021-04-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-07
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-05-14
    Dose 2 — Moderna
  12. 2021-05-14
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  13. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Bronchial disorder, Painful respiration, Pulmonary pain — Feeling: Fair
    Free text: Bronchial and lung pain when breathing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Bronchial irritation — Feeling: Fair · Site: Itching · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Bronchial pain/tightness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-17
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Painful respiration, Tracheal pain — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Pain in trachea when breathing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness
    Free text: Tightness in trachea when breathing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  20. 2021-05-21
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  21. 2021-05-28
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-06-04
    Survey response — day 21, dose 2
    MedDRA: Pain in extremity — Feeling: Fair
    Free text: Calf pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-13
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-06-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-25
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-08-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-01
    Dose 3 — Pfizer-BioNTech
  29. 2022-04-16
  30. 2022-09-30
    Dose 4 — Pfizer-BioNTech
  31. 2022-10-08
    Health check-in — day 7, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  32. 2022-10-14
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-10-21
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-10-28
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-12-30
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  36. 2023-03-31
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna
22021-05-14Moderna
32021-12-01Pfizer-BioNTech No
42022-09-30Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): Bronchial and lung pain when breathing

2021-05-17

Systemic reaction (other): Bronchial pain/tightness

2021-05-18

Systemic reaction (other): Pain in trachea when breathing

2021-05-19

Systemic reaction (other): Tightness in trachea when breathing

Release 8 — day 21, dose 2

2021-06-04

Symptoms: Calf pain

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
SDPain in extremity ✓ ✓ ✓
SROBronchial disorder · · ✓
SROBronchial irritation ✓ ✓ ✓
SROPainful respiration ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPulmonary pain ✓ ✓ ✓
SROTracheal pain ✓ ✓ ✓

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

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