3U4-16017-32369
1 vaccination
7 coded responses
9 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 117 / NY
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-01
Registered in v-safe
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2021-04-01
Dose 1 — Moderna
- 2021-04-01
- 2021-04-02
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Wheezing — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Terrible cough and wheezeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Wheezing — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still coughing and wheezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough, sore throat, cold symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 7, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 14, dose 1MedDRA: Asthenia, Cough, Headache, Oropharyngeal pain, Wheezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Terrible cough, wheezing, sore throat, headache, weak feeling throughout body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-24
Survey response — day 21, dose 1MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: CovidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-02
Survey response — 6 months, dose 1MedDRA: Emergency care, Medical counselling, Pain in extremity, Peripheral swelling, Pulmonary mass — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: My legs swelled up, causing me much pain and I needed to go to the hospital, last month. I currently have a mass-like consolidation in my lung. · Healthcare visit (other): Dr. called me after my PET Scan to tell me about my lung, went to ER for swollen legsMedDRA releases: 2024-11 · check-in free text available
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2021-10-02
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-10-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Terrible cough and wheeze
Systemic reaction (other): Still coughing and wheezing
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Cough, sore throat, cold symptoms
Release 7 — day 7, dose 1
Systemic reaction (other): Sore throat
Release 7 — day 14, dose 1
Symptoms: Terrible cough, wheezing, sore throat, headache, weak feeling throughout body.
Release 7 — day 21, dose 1
Symptoms: Covid
Release 9 — 6 months, dose 1
Symptoms: My legs swelled up, causing me much pain and I needed to go to the hospital, last month. I currently have a mass-like consolidation in my lung.
Healthcare visit (other): Dr. called me after my PET Scan to tell me about my lung, went to ER for swollen legs
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 | Emergency care | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Peripheral swelling | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pulmonary mass | · | · | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release