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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

  1. 2021-02-08
    Dose 1 — Moderna
  2. 2021-02-27
    Registered in v-safe
  3. 2021-02-27
    Survey response — day 14, dose 1
    MedDRA: Herpes zoster, Pruritus — Feeling: Poor
    Free text: Itch all over all night. I had shingles January 20 ,2021
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-18
    Dose 2 — Moderna
  5. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pyrexia — Feeling: Good · Site: Pain · Be unable to do your normal daily activities
    Free text: For two days after second shot had low grade fever and all my joints hurt bad for 2 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-03-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-04-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-24
    Survey response — day 35, dose 2
    MedDRA: Dyspnoea, SARS-CoV-2 test negative, Sinus disorder, Sinus pain — Feeling: Poor · Be unable to do your normal daily activities
    Free 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
  12. 2021-04-30
    Survey response — day 42, dose 2
    MedDRA: 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 professional
    Free text: Symptoms: Can,t breath good · Healthcare visit (other): Dr office several
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-30
    Report sent to call center — day 42, dose 2
    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)
  14. 2021-06-17
    Survey response — 3 months, dose 2
    MedDRA: Asthma — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  15. 2021-09-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-04-14

Vaccinations

DoseDateManufacturerCo-administered
12021-02-08Moderna
22021-03-18Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-27

Symptoms: Itch all over all night. I had shingles January 20 ,2021

Release 6 — days 1–6 daily, dose 2

2021-03-22

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

2021-04-24

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

2021-04-30

Symptoms: Can,t breath good
Healthcare visit (other): Dr office several

Release 9 — 3 months, dose 2

2021-06-17

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAsthma ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDHerpes zoster ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SDSinus pain ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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