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ULH-45644-73268

3 vaccinations 2 coded responses 29 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
088 / NJ
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
WUS-14866-50897 Child or adolescent in my care · Male · 2022-06-25
UUU-28097-05412 Child or adolescent in my care · Female · 2022-08-23

Timeline

  1. 2021-02-04
    Registered in v-safe
  2. 2021-02-04
    Dose 1 — Moderna
  3. 2021-02-04
    Survey response — day 0, dose 1
    MedDRA: Reaction to previous exposure to any vaccine, Vaccination site pain — Feeling: Good · Site: Pain
    Free text: Just soreness akin to a tetanus shot at the vaccine site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-04
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-03-05
    Dose 2 — Moderna
  15. 2021-03-05
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  16. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  18. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  19. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-03-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-09-03
    Survey response — 6 months, dose 2
    MedDRA: Cough, Dyspnoea, Malaise, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, 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: Cough, chest congestion, shortness of breath, general malaise
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2021-09-03
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  31. 2021-09-07
  32. 2021-11-04
    Dose 3 — Moderna
  33. 2022-03-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  34. 2022-05-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-11-04
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-05Moderna
32021-11-04Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): Just soreness akin to a tetanus shot at the vaccine site

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Cough, chest congestion, shortness of breath, general malaise

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
SDCough ✓ · ✓
SDDyspnoea ✓ · ✓
SDMalaise ✓ · ✓
SDRespiratory tract congestion ✓ · ✓
SROReaction to previous exposure to any vaccine ✓ ✓ ✓
SROVaccination site pain ✓ ✓ ✓

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

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