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TNP-15689-45401

4 vaccinations 7 coded responses 32 check-ins 6 free-text entries 5 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
054 / VT
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
Y83-28184-38070 Child or adolescent in my care · Male · 2022-07-03

Timeline

  1. 2021-01-21
    Dose 1 — Moderna
  2. 2021-01-23
    Registered in v-safe
  3. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-02-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-18
    Dose 2 — Moderna
  12. 2021-02-18
    Health check-in — day 0, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  13. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  15. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · 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: Fair · Headache
    Adult check-in
  17. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  18. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-11
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Headache, Respiratory tract congestion — Feeling: Fair
    Free text: Some throat congestion and fatigue, a headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-18
    Survey response — day 28, dose 2
    MedDRA: Conjunctivitis — Feeling: Fair
    Free text: Pink eye
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-19
    Survey response — 6 months, dose 2
    MedDRA: Fatigue, Nausea, Oropharyngeal pain, Pulmonary pain — Feeling: Fair · 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: Fatigue, nausea, lung pain, sore throat
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-08-19
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-08-26
  29. 2021-10-29
    Dose 3 — Moderna
  30. 2022-02-19
    Survey response — 12 months, dose 2
    MedDRA: Abdominal distension, Abdominal pain, Flatulence, Gastrointestinal disorder — 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: Gastrointestinal problems- gas, bloating, abdominal pain
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-02-19
    Report sent to call center — 12 months, dose 2
    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)
  32. 2022-02-22
  33. 2022-09-29
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  34. 2022-10-08
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-10-13
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-10-20
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-10-27
    Survey response — day 28, dose 4
    MedDRA: Eczema — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Eczema
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-10-27
    Report sent to call center — day 28, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  39. 2022-10-28
  40. 2022-10-28
  41. 2022-10-28
  42. 2022-11-03
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-11-10
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-12-29
    Survey response — 3 months, dose 4
    MedDRA: Cough, Fatigue, Headache, Pyrexia, Respiratory tract infection viral, Rhinorrhoea, SARS-CoV-2 test negative — 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: Have had a respiratory virus for several weeks- tested negative for covid several times. Started as dry cough headache fever, continued as wet cough fatigue runny nose
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-12-29
    Report sent to call center — 3 months, dose 4
    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)
  46. 2022-12-30
  47. 2022-12-30
  48. 2023-03-30
    Survey response — 6 months, dose 4
    MedDRA: Asthenia, Dizziness, Fatigue — 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
    MedDRA releases: 2024-11
  49. 2023-03-30
    Report sent to call center — 6 months, dose 4
    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)
  50. 2023-03-31
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  51. 2023-03-31
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  52. 2023-03-31
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  53. 2023-03-31
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  54. 2023-03-31
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-18Moderna
32021-10-29Moderna No
42022-09-29Pfizer-BioNTech Flu

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 5 — day 21, dose 2

2021-03-11

Symptoms: Some throat congestion and fatigue, a headache

Release 5 — day 28, dose 2

2021-03-18

Symptoms: Pink eye

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Fatigue, nausea, lung pain, sore throat

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Gastrointestinal problems- gas, bloating, abdominal pain

Release 12 — day 28, dose 4

2022-10-27

Symptoms: Eczema

Release 12 — 3 months, dose 4

2022-12-29

Symptoms: Have had a respiratory virus for several weeks- tested negative for covid several times. Started as dry cough headache fever, continued as wet cough fatigue runny nose

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
SDAbdominal distension · · ✓
SDAbdominal pain · · ✓
SDAsthenia · · ✓
SDConjunctivitis ✓ ✓ ✓
SDCough · · ✓
SDDizziness · · ✓
SDEczema · · ✓
SDFatigue ✓ ✓ ✓
SDFlatulence · · ✓
SDGastrointestinal disorder · · ✓
SDHeadache ✓ ✓ ✓
SDNausea ✓ · ✓
SDOropharyngeal pain ✓ · ✓
SDPulmonary pain ✓ · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRespiratory tract infection viral · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓

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

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