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R3B-16058-21305

2 vaccinations 1 coded response 19 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
430 / OH
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-09
    Dose 2 — Moderna
  13. 2021-02-09
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-10
    Survey response — 6 months, dose 2
    MedDRA: Sinusitis, Surgery — Feeling: Good · 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 visit
    Free text: Symptoms: Sinus infection that required surgery. · Healthcare visit (other): Outpatient surgery
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-08-10
    Report sent to call center — 6 months, 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
    1 call case(s)
  23. 2021-08-12
  24. 2022-02-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Sinus infection that required surgery.
Healthcare visit (other): Outpatient surgery

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
HCVOSurgery ✓ · ✓
SDSinusitis ✓ · ✓
SDSurgery ✓ · ✓

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

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