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RCF-96135-95015

5 vaccinations 6 coded responses 35 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
903 / CA
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-21
    Registered in v-safe
  2. 2021-01-21
    Dose 1 — Moderna
  3. 2021-01-21
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-04
    Survey response — day 14, dose 1
    MedDRA: Injection site rash — Feeling: Good
    Free text: Rashes on the injection spot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-18
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-19
    Dose 2 — Moderna
  15. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-26
    Survey response — day 7, dose 2
    MedDRA: Abortion spontaneous — Feeling: Good · Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Miscarriage
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-24
    Dose 3 — Moderna
  28. 2021-12-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-29
    Survey response — day 35, dose 3
    MedDRA: Chills, Cough, Oropharyngeal pain — Feeling: Fair
    Free text: Cough, chills, sore throat
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-01-05
    Survey response — day 42, dose 3
    MedDRA: Chills, Cough, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Cough, chills, headache
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-01-05
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  34. 2022-01-06
  35. 2022-01-11
  36. 2022-01-14
  37. 2022-02-23
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-03-15
    Dose 4 — Moderna
  39. 2022-05-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-06-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-09-13
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-12-16
    Dose 5 — Moderna
  43. 2023-03-15
    Survey response — 12 months, dose 4
    MedDRA: Influenza, Nasopharyngitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  44. 2023-03-15
    Report sent to call center — 12 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  45. 2023-03-16
  46. 2023-03-16
  47. 2023-03-19
    Survey response — 3 months, dose 5
    MedDRA: Cough, Influenza, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  48. 2023-03-19
    Report sent to call center — 3 months, dose 5
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  49. 2023-03-21
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  50. 2023-03-21
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  51. 2023-03-21
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  52. 2023-06-16
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-19Moderna
32021-11-24Moderna No
42022-03-15Moderna No
52022-12-16Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-01-05 Successful
2023-03-21
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-15 Successful
2023-03-21
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-19 Successful
2023-03-21
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Rashes on the injection spot

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Miscarriage

Release 10 — day 35, dose 3

2021-12-29

Symptoms: Cough, chills, sore throat

Release 10 — day 42, dose 3

2022-01-05

Symptoms: Cough, chills, headache

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
SDChills · · ✓
SDCough · · ✓
SDHeadache · · ✓
SDInfluenza · · ✓
SDInjection site rash ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDRhinorrhoea · · ✓
SROAbortion spontaneous ✓ ✓ ✓

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

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