324-20691-81335
2 vaccinations
4 coded responses
27 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 750 / TX
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Pre-existing disease — Feeling: Fair · Site: PainFree text: Shortness of breath as with my asthmaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Good · Site: PainFree text: Shortness of breath-asthma likeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
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2021-04-08
Survey response — day 35, dose 2MedDRA: Malaise, Middle insomnia, Nausea — Feeling: GoodFree text: Nausea off and on over a few weeks. Took me a while to acknowledge it was recurring. Sometimes it woke me up in the night. Sometimes it was general malaise during the day. I don't have nausea otherwise and am 65 so not pregnant!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-06-03
-
2021-09-02
Survey response — 6 months, dose 2MedDRA: Adverse reaction, Burning sensation, Chest discomfort, Cough, Eye pruritus, Office visit, Respiratory tract congestion, SARS-CoV-2 test, SARS-CoV-2 test negative, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Jaunt came from dr. Allergy like sneezing, itchy eyes, stuffy, now dry cough on intake of breath, some burning and heaviness in lungs. 2 weeks. 2 negative home Abbott antigen Covid self tests. Tested for Covid at dr today. No chills,fver,naus,fatique · Healthcare visit (other): PCP visitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-02
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-07
- 2022-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Shortness of breath as with my asthma
Systemic reaction (other): Shortness of breath-asthma like
Release 7 — day 35, dose 2
Symptoms: Nausea off and on over a few weeks. Took me a while to acknowledge it was recurring. Sometimes it woke me up in the night. Sometimes it was general malaise during the day. I don't have nausea otherwise and am 65 so not pregnant!
Release 9 — 6 months, dose 2
Symptoms: Jaunt came from dr. Allergy like sneezing, itchy eyes, stuffy, now dry cough on intake of breath, some burning and heaviness in lungs. 2 weeks. 2 negative home Abbott antigen Covid self tests. Tested for Covid at dr today. No chills,fver,naus,fatique cut off by CDC
Healthcare visit (other): PCP visit
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 | Adverse reaction | ✓ | · | ✓ |
| SD | Burning sensation | ✓ | · | ✓ |
| SD | Chest discomfort | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Eye pruritus | ✓ | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Middle insomnia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | SARS-CoV-2 test | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release