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P7N-56980-93526

2 vaccinations 1 coded response 17 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
088 / NJ
Registered
2021-09-13
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino
Registered dependents
N35-30127-33802 Child or adolescent in my care · Female · 2022-06-24

Timeline

  1. 2021-09-10
    Dose 1 — Moderna
  2. 2021-09-13
    Registered in v-safe
  3. 2021-09-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-09-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-09-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-09-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-09-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-10-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-10-15
    Dose 2 — Moderna
  10. 2021-10-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-10-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-10-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-10-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-10-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-11-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-01-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-04-17
    Survey response — 6 months, dose 2
    MedDRA: Deep vein thrombosis, Infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Infection, DVT
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-17
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  22. 2022-04-20

Vaccinations

DoseDateManufacturerCo-administered
12021-09-10Moderna No
22021-10-15Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — 6 months, dose 2

2022-04-17

Symptoms: Infection, DVT

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
SDDeep vein thrombosis · · ✓
SDInfection · · ✓

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

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