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RQV-22018-10194

3 vaccinations 1 coded response 9 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
495 / MI
Registered
2021-05-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-31
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-21
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-07
    Registered in v-safe
  4. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-05-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-05-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-06-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-07-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-10-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2022-01-06
    Dose 3 — Moderna
  12. 2022-04-21
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2022-07-09
    Survey response — 6 months, dose 3
    MedDRA: COVID-19 — Feeling: Fair · 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: Covid
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-07-09
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2022-07-11
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Pfizer-BioNTech
22021-04-21Pfizer-BioNTech
32022-01-06Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — 6 months, dose 3

2022-07-09

Symptoms: Covid

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
SDCOVID-19 · · ✓

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

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