3Q2-32332-80442
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 221 / VA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-21
- 2021-01-28
- 2021-02-03
-
2021-02-10
Survey response — day 28, dose 1MedDRA: Fluid retention, Hospitalisation, Idiopathic pulmonary fibrosis, Oxygen saturation decreased, Pulmonary hypertension — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Very low blood-oxygen levels and high pulmonary hypertension and fluid in the lungs. Covid NOT suspected. I have IPF and cause unknown yet. · Healthcare visit (other): Still in hospital.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-17
Survey response — day 35, dose 1MedDRA: Condition aggravated, Hospitalisation, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have idiopathic pulmonary fibrosis and I had a flareup in my lungs. I was just released after a week in the hospital and had to miss my second vaccination. I wish to schedule that second vaccination as soon as possible.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Dose 2 — Moderna
- 2021-02-24
- 2021-02-25
- 2021-02-27
- 2021-03-08
- 2021-03-13
- 2021-03-19
- 2021-03-26
-
2021-04-03
Survey response — day 42, dose 2MedDRA: Condition aggravated, Oxygen saturation decreased, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: IPF O2 levels dropped very low. Not Covid relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 3 — day 28, dose 1
Symptoms: Very low blood-oxygen levels and high pulmonary hypertension and fluid in the lungs. Covid NOT suspected. I have IPF and cause unknown yet.
Healthcare visit (other): Still in hospital.
Release 4 — day 35, dose 1
Symptoms: I have idiopathic pulmonary fibrosis and I had a flareup in my lungs. I was just released after a week in the hospital and had to miss my second vaccination. I wish to schedule that second vaccination as soon as possible.
Release 6 — day 42, dose 2
Symptoms: IPF O2 levels dropped very low. Not Covid related
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 | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Fluid retention | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Idiopathic pulmonary fibrosis | ✓ | ✓ | ✓ |
| SD | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pulmonary hypertension | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release