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PQX-93784-20259

4 vaccinations 4 coded responses 22 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
550 / MN
Registered
2021-11-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-02-19
    Dose 2 — Moderna
  3. 2021-11-05
    Registered in v-safe
  4. 2021-11-05
    Dose 3 — Moderna
  5. 2021-11-05
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-11-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  11. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  12. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Fair · Headache
    Adult check-in
  13. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-11-26
    Survey response — day 21, dose 3
    MedDRA: Headache — Feeling: Fair
    Free text: Headache
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-12-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-05-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-09-20
    Dose 4 — Moderna
  21. 2022-10-06
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  22. 2022-10-11
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-10-18
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-10-25
    Survey response — day 35, dose 4
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Supraclavicular lymphadenopathy
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-11-01
    Survey response — day 42, dose 4
    MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school
    Free text: Cough and congestion - nasal and chest
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-12-22
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  27. 2023-03-21
    Survey response — 6 months, dose 4
    MedDRA: Abdominal pain lower, Lower urinary tract symptoms — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  28. 2023-03-21
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2023-03-22

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna No
22021-02-19Moderna No
32021-11-05Moderna No
42022-09-20Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — day 21, dose 3

2021-11-26

Symptoms: Headache

Release 12 — day 35, dose 4

2022-10-25

Symptoms: Supraclavicular lymphadenopathy

Release 12 — day 42, dose 4

2022-11-01

Symptoms: Cough and congestion - nasal and chest

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
SDAbdominal pain lower · · ✓
SDCough · · ✓
SDHeadache · · ✓
SDLower urinary tract symptoms · · ✓
SDLymphadenopathy · · ✓
SDNasal congestion · · ✓
SDRespiratory tract congestion · · ✓

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