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T25-22996-44469

3 vaccinations 2 coded responses 16 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
774 / TX
Registered
2022-05-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-27
    Dose 1 — Moderna
  2. 2021-05-25
    Dose 2 — Moderna
  3. 2022-05-24
    Registered in v-safe
  4. 2022-05-24
    Dose 3 — Moderna
  5. 2022-05-24
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2022-05-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2022-05-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  8. 2022-05-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2022-05-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2022-05-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2022-05-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2022-05-31
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2022-06-07
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-06-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-06-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-06-28
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-07-05
    Survey response — day 42, dose 3
    MedDRA: Ear pain, Hypoacusis, Pain in jaw — 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 · Telehealth, virtual health, or email health consultation
    Free text: Severe ear pain/muffled hearing and jaw pain
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-07-05
    Report sent to call center — day 42, dose 3
    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)
  19. 2022-07-06
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  20. 2022-08-23
    Survey response — 3 months, dose 3
    MedDRA: Ear infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Continued ear infections
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-08-23
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-08-24
    Call successful
    Not applicable - Accidental Reporting
  23. 2022-11-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2023-05-26
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-27Moderna No
22021-05-25Moderna No
32022-05-24Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 12 — day 42, dose 3

2022-07-05

Symptoms: Severe ear pain/muffled hearing and jaw pain

Release 12 — 3 months, dose 3

2022-08-23

Symptoms: Continued ear infections

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
SDEar infection · · ✓
SDEar pain · · ✓
SDHypoacusis · · ✓
SDPain in jaw · · ✓

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