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UYX-17159-88570

3 vaccinations 2 coded responses 3 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
028 / RI
Registered
2021-10-19
Relationship
Adult relative or friend
Guardian
4G2-75988-99781
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-31
    Dose 1 — Moderna
  2. 2021-02-27
    Dose 2 — Moderna
  3. 2021-10-19
    Registered in v-safe
  4. 2021-10-23
    Dose 3 — Pfizer-BioNTech
  5. 2022-01-22
    Survey response — 3 months, dose 3, dependent
    MedDRA: Sinusitis — 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: Sinus infection in Dec treated with augmentin
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-22
    Report sent to call center — 3 months, dose 3, dependent
    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)
  7. 2022-01-26
  8. 2022-04-23
  9. 2022-10-27
    Survey response — 12 months, dose 3, dependent
    MedDRA: Fatigue — Feeling: Fair
    Free text: Fatigue, worn out
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-31Moderna No
22021-02-27Moderna No
32021-10-23Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 11 — 3 months, dose 3, dependent

2022-01-22

Symptoms: Sinus infection in Dec treated with augmentin

Release 12 — 12 months, dose 3, dependent

2022-10-27

Symptoms: Fatigue, worn out

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
SDFatigue · · ✓
SDSinusitis · · ✓

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