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26X-14817-13922

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 5 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
129 / NY
Registered
2021-01-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-04
    Registered in v-safe
  3. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Short of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hot flush, Hyperhidrosis, Pyrexia — Feeling: Fair · Fever · Headache
    Free text: “Hot flash” type episode fever and diaphoretic. Lasts a few minutes, fever then gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-07
    Survey response — day 7, dose 1
    MedDRA: Middle ear effusion, SARS-CoV-2 test — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Feels like fluid in ear canals occasionally · Healthcare visit (other): Covid test ordered due to vaccine received 7 days ago, didn't think symptoms any longer vaccine related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-07
    Report sent to call center — day 7, dose 1
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-01-14
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Hypersomnia, SARS-CoV-2 test — Feeling: Fair · Be unable to work, 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: Symptoms: Temp continues daily to 99.4-99.9. Fatigue and sleeping a lot past week · Healthcare visit (other): CXR, labs and another covid test
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-14
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-01-23
    Survey response — day 21, dose 1
    MedDRA: Dyspnoea, Oxygen saturation decreased, Pyrexia, Tachycardia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Fevers continue to 99.8 daily. Increased shortness of breath, O2 sats dropping with activity accompanied by tachycardia to 130s with activity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-23
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-01-28
    Survey response — day 28, dose 1
    MedDRA: Dyspnoea, Unevaluable event — Feeling: Poor · Be unable to work, 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: Symptoms: Continued temps, shortness of breath and ta by arsia with activity · Healthcare visit (other): CT scans, more lab work, stress test tomorrow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-28
    Report sent to call center — day 28, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-02-11
    Dose 2 — Moderna
  14. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work
    Adult check-in
  17. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  18. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Night sweats — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Night sweats
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea, Night sweats, Tachycardia — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Night sweats, short of breath and tachycardia with minimal activity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-17
  21. 2021-02-18
    Survey response — day 7, dose 2
    MedDRA: Dyspnoea, Tachycardia — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Short of breath & tachycardia with minimal activity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-03-04
    Survey response — day 21, dose 2
    MedDRA: Body temperature, Dyspnoea, Headache, Tachycardia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Splitting headache. Sob and tachycardia with activity continues. Low grade temperatures continue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-03-18
    Survey response — day 35, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Increased Dyspnea with exertion and talking on phone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-05-13
    Survey response — 3 months, dose 2
    MedDRA: Office visit, Tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Continued tachycardia with activity · Healthcare visit (other): Office visits
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-05-13
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-06-08
  30. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  31. 2022-02-16
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-02-11Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Short of breath

2021-01-06

Systemic reaction (other): “Hot flash” type episode fever and diaphoretic. Lasts a few minutes, fever then gone.

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Feels like fluid in ear canals occasionally
Healthcare visit (other): Covid test ordered due to vaccine received 7 days ago, didn't think symptoms any longer vaccine related

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Temp continues daily to 99.4-99.9. Fatigue and sleeping a lot past week
Healthcare visit (other): CXR, labs and another covid test

Release 2 — day 21, dose 1

2021-01-23

Symptoms: Fevers continue to 99.8 daily. Increased shortness of breath, O2 sats dropping with activity accompanied by tachycardia to 130s with activity

Release 2 — day 28, dose 1

2021-01-28

Symptoms: Continued temps, shortness of breath and ta by arsia with activity
Healthcare visit (other): CT scans, more lab work, stress test tomorrow

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Night sweats

2021-02-17

Systemic reaction (other): Night sweats, short of breath and tachycardia with minimal activity

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Short of breath & tachycardia with minimal activity

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Splitting headache. Sob and tachycardia with activity continues. Low grade temperatures continue

Release 5 — day 35, dose 2

2021-03-18

Symptoms: Increased Dyspnea with exertion and talking on phone.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Continued tachycardia with activity
Healthcare visit (other): Office visits

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
HCVOOffice visit ✓ ✓ ✓
HCVOSARS-CoV-2 test ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDBody temperature ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypersomnia ✓ ✓ ✓
SDOxygen saturation decreased ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDTachycardia ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHot flush ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROMiddle ear effusion ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROTachycardia ✓ ✓ ✓

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

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