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UV7-22699-26039

4 vaccinations 7 coded responses 51 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
296 / SC
Registered
2021-06-17
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino
Registered dependents
LMS-25478-26901 Child or adolescent in my care · Female · 2022-01-08

Timeline

  1. 2021-06-16
    Dose 1 — Moderna
  2. 2021-06-17
    Registered in v-safe
  3. 2021-06-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-06-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-06-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-06-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-06-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-06-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-06-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-06-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-07-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-07-14
    Survey response — day 28, dose 1
    MedDRA: Delivery — 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 · Hospitalization
    Free text: Currently in labor/delivering a baby
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-14
    Report sent to call center — day 28, dose 1
    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)
  14. 2021-07-20
  15. 2021-07-21
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-07-26
    Dose 2 — Moderna
  17. 2021-07-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Pain, Pain in extremity — Feeling: Good · Site: Pain
    Free text: Arm pain, headache, body ache day after the vaccination.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-07-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-07-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Redness, Swelling, Itching
    Free text: Sore throat
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-08-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Swelling
    Free text: Sore throat, runny nose
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-08-02
    Survey response — day 7, dose 2
    MedDRA: Chills, Pyrexia — Feeling: Fair · Fever · Chills
    Free text: Fever and chills yesterday evening into the night (past midnight)
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-08-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-01-03
    Dose 3 — Moderna
  29. 2022-01-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  30. 2022-01-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  31. 2022-01-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches
    Adult check-in
  32. 2022-01-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Menstruation irregular, Postpartum state — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches
    Free text: Recommenced menses in postpartum period on day 1 of booster shot
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-01-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  34. 2022-01-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  35. 2022-01-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-01-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-31
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-02-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-02-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-04
    Survey response — 3 months, dose 3
    MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sore throat, runny nose, congestion; negative Covid-19 qPCR and negative at-home Covid-19 Antigen test
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-07-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-11-18
    Dose 4 — Pfizer-BioNTech
  44. 2022-11-18
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  45. 2022-11-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Itching · Headache
    Adult check-in
  46. 2022-11-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  47. 2022-11-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache
    Adult check-in
  48. 2022-11-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-11-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-11-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache
    Adult check-in
  51. 2022-11-25
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-12-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-12-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-12-16
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-12-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-12-30
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  57. 2023-02-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  58. 2023-05-19
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-16Moderna
22021-07-26Moderna No
32022-01-03Moderna No
42022-11-18Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-07-14 Unsuccessful

Free text

Release 9 — day 28, dose 1

2021-07-14

Symptoms: Currently in labor/delivering a baby

Release 9 — days 1–6 daily, dose 2

2021-07-28

Systemic reaction (other): Arm pain, headache, body ache day after the vaccination.

2021-07-31

Systemic reaction (other): Sore throat

2021-08-01

Systemic reaction (other): Sore throat, runny nose

Release 9 — day 7, dose 2

2021-08-02

Systemic reaction (other): Fever and chills yesterday evening into the night (past midnight)

Release 10 — days 1–6 daily, dose 3

2022-01-07

Systemic reaction (other): Recommenced menses in postpartum period on day 1 of booster shot

Release 11 — 3 months, dose 3

2022-04-04

Symptoms: Sore throat, runny nose, congestion; negative Covid-19 qPCR and negative at-home Covid-19 Antigen test

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
SDDelivery ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SROChills ✓ · ✓
SROHeadache ✓ · ✓
SROMenstruation irregular · · ✓
SROOropharyngeal pain ✓ · ✓
SROPain ✓ · ✓
SROPain in extremity ✓ · ✓
SROPostpartum state · · ✓
SROPyrexia ✓ · ✓
SRORhinorrhoea ✓ · ✓

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