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RLV-31733-94260

4 vaccinations 1 coded response 19 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
913 / CA
Registered
2021-11-14
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino
Registered dependents
LC9-23944-92915 Child or adolescent in my care · Female · 2022-05-15

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-02-11
    Dose 2 — Moderna
  3. 2021-11-14
    Registered in v-safe
  4. 2021-11-14
    Dose 3 — Moderna
  5. 2021-11-14
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  7. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  8. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-11-21
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-11-28
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-12-05
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-12-12
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-19
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-26
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-02-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-05-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-10-03
    Dose 4 — Moderna
    Co-administered: Flu
  20. 2022-11-03
    Health check-in — day 28, dose 4
    Feeling: Poor
    Adult check-in
  21. 2022-11-07
    Survey response — day 35, dose 4
    MedDRA: Bronchitis, 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 and Bronchitis
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-11-07
    Report sent to call center — day 35, dose 4
    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)
  23. 2022-11-08
  24. 2022-11-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  25. 2023-01-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  26. 2023-04-05
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna No
22021-02-11Moderna No
32021-11-14Moderna No
42022-10-03Moderna Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 12 — day 35, dose 4

2022-11-07

Symptoms: COVID and Bronchitis

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
SDBronchitis · · ✓
SDCOVID-19 · · ✓

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

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