2CC-32471-69072
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 137 / NY
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
-
2021-02-27
Survey response — day 14, dose 1MedDRA: Herpes zoster, Pruritus — Feeling: PoorFree text: Itch all over all night. I had shingles January 20 ,2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Dose 2 — Moderna
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pyrexia — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: For two days after second shot had low grade fever and all my joints hurt bad for 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-27
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-24
Survey response — day 35, dose 2MedDRA: Dyspnoea, SARS-CoV-2 test negative, Sinus disorder, Sinus pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Terrible sinis and breathing problems every since my second shot on February 18 the 4 dr,s can find nothing wrong, is it possible it is from shot?I got a covid test and that was negative. I am beside myself, with sinis pain and hard to breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Survey response — day 42, dose 2MedDRA: Dyspnoea, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Can,t breath good · Healthcare visit (other): Dr office severalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-17
Survey response — 3 months, dose 2MedDRA: Asthma — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Asthma I hope it did not come from shotThat is what I have had since shot. Probably .But it took 3 dr. WhoDid not know what was wrong. Went to specialist in Albany he knew imeadelitly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-18
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-18 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Itch all over all night. I had shingles January 20 ,2021
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): For two days after second shot had low grade fever and all my joints hurt bad for 2 days
Release 7 — day 35, dose 2
Symptoms: Terrible sinis and breathing problems every since my second shot on February 18 the 4 dr,s can find nothing wrong, is it possible it is from shot?I got a covid test and that was negative. I am beside myself, with sinis pain and hard to breath.
Release 8 — day 42, dose 2
Release 9 — 3 months, dose 2
Symptoms: Asthma I hope it did not come from shotThat is what I have had since shot. Probably .But it took 3 dr. WhoDid not know what was wrong. Went to specialist in Albany he knew imeadelitly.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release