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3CM-20842-79183

4 vaccinations 5 coded responses 34 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
115 / NY
Registered
2021-01-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-01-17
    Registered in v-safe
  3. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Good
    Free text: Cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Runny nose/congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: Dyspnoea — Feeling: Good
    Free text: Difficulty breathing in the cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-12
    Dose 2 — Moderna
  10. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  13. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  14. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  15. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-16
    Survey response — 3 months, dose 2
    MedDRA: Herpes zoster, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Had shingles on my palate for almost 3 weeks. Never had an outbreak like that since the various shot · Healthcare visit (other): Dentist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-16
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-19
    Dose 3 — Moderna
  26. 2021-10-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-02
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-03-20
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-04-10
    Dose 4 — Moderna
  31. 2022-04-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  32. 2022-04-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-04-17
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-04-24
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-05-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-05-08
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-05-11
  38. 2022-05-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-07-11
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-10-09
    Survey response — 6 months, dose 4
    MedDRA: Chest discomfort, Chest pain, Heart rate increased — Feeling: Good
    Free text: On the day of my booster I had sporadic chest pain and rapid heartbeat- it was very uncomfortable- debated on going to the ER I- but it passed. The day after it was less painful and only happened twice during the entire day. Fine since.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2023-04-10
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna
32021-09-19Moderna No
42022-04-10Moderna No

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 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Cough

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Runny nose/congestion

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Difficulty breathing in the cold

Release 8 — 3 months, dose 2

2021-05-16

Symptoms: Had shingles on my palate for almost 3 weeks. Never had an outbreak like that since the various shot
Healthcare visit (other): Dentist

Release 12 — 6 months, dose 4

2022-10-09

Symptoms: On the day of my booster I had sporadic chest pain and rapid heartbeat- it was very uncomfortable- debated on going to the ER I- but it passed. The day after it was less painful and only happened twice during the entire day. Fine since.

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 ✓ ✓ ✓
SDChest discomfort · · ✓
SDChest pain · · ✓
SDDyspnoea ✓ ✓ ✓
SDHeart rate increased · · ✓
SDHerpes zoster ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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

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