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N5V-23105-60059

2 vaccinations 3 coded responses 6 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
068 / CT
Registered
2021-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-12
    Dose 1 — Moderna
  2. 2021-12-28
    Dose 2 — Moderna
  3. 2021-12-30
    Registered in v-safe
  4. 2021-12-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Cough and runny nose
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-12-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2022-01-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  7. 2022-01-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  8. 2022-01-20
    Survey response — day 21, dose 2
    MedDRA: 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 · Telehealth, virtual health, or email health consultation
    Free text: Covid
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-01-20
    Report sent to call center — day 21, dose 2
    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)
  10. 2022-01-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  11. 2022-12-28
    Survey response — 12 months, dose 2
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have covid
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-12Moderna No
22021-12-28Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 2

2021-12-30

Systemic reaction (other): Cough and runny nose

Release 10 — day 21, dose 2

2022-01-20

Symptoms: Covid

Release 12 — 12 months, dose 2

2022-12-28

Symptoms: I have covid

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 · · ✓
SROCough · · ✓
SRORhinorrhoea · · ✓

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