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UR4-72325-00442

3 vaccinations 3 coded responses 27 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
857 / AZ
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-31
    Registered in v-safe
  2. 2020-12-31
    Dose 1 — Moderna
  3. 2020-12-31
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-01
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Fatigue or tiredness
    Adult check-in
  11. 2021-01-07
    Health check-in — day 7, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-01-14
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus, Injection site rash — Feeling: Good
    Free text: Rash on injection site,and itching.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-28
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-01-29
    Dose 2 — Moderna
  15. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-02-04
    Dose 3 — Moderna
  23. 2022-02-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-02-04
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2022-02-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Neck lymph nodes swelling
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-02-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2022-02-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2022-02-25
    Survey response — day 21, dose 3
    MedDRA: Premature labour — Feeling: Good
    Free text: Currently pregnant preterm labor
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-03-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-03-13
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-03-20
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-08-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-29Moderna
32022-02-04Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-01-01 priority 2/3

Free text

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Rash on injection site,and itching.

Release 11 — days 1–6 daily, dose 3

2022-02-05

Systemic reaction (other): Neck lymph nodes swelling

Release 11 — day 21, dose 3

2022-02-25

Symptoms: Currently pregnant preterm labor

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
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDPremature labour · · ✓
SROLymphadenopathy · · ✓

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

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