MR6-28589-06020
3 vaccinations
1 coded response
11 check-ins
1 free-text entry
1 call case
- Sex
- —
- Age at first dose
- 21-25
- ZIP prefix
- 974 / OR
- Registered
- 2021-12-14
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Moderna
-
2021-04-23
Dose 2 — Moderna
-
2021-12-13
Dose 3 — Pfizer-BioNTech
-
2021-12-14
Registered in v-safe
-
2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend schoolAdult check-in
-
2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-12-17
- 2021-12-22
- 2021-12-27
- 2022-01-05
- 2022-01-10
- 2022-01-19
- 2022-01-24
- 2022-03-14
-
2022-06-13
Survey response — 6 months, dose 3MedDRA: COVID-19 — 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 visitFree text: Contracted Covid 19 May, 21, 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-06-13
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | No |
| 2 | 2021-04-23 | Moderna | No |
| 3 | 2021-12-13 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — 6 months, dose 3
Symptoms: Contracted Covid 19 May, 21, 2022
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 | COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release