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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

  1. 2021-04-01
    Registered in v-safe
  2. 2021-04-01
    Dose 1 — Moderna
  3. 2021-04-01
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  5. 2021-04-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Wheezing — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Terrible cough and wheeze
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Wheezing — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Still coughing and wheezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Cough, sore throat, cold symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-08
    Survey response — day 7, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-15
    Survey response — day 14, dose 1
    MedDRA: 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, Hospitalization
    Free text: Terrible cough, wheezing, sore throat, headache, weak feeling throughout body.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-15
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-04-24
    Survey response — day 21, dose 1
    MedDRA: 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, Hospitalization
    Free text: Covid
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-24
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-10-02
    Survey response — 6 months, dose 1
    MedDRA: 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 visit
    Free 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 legs
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-02
    Report sent to call center — 6 months, dose 1
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  15. 2021-10-04

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Terrible cough and wheeze

2021-04-05

Systemic reaction (other): Still coughing and wheezing

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Cough, sore throat, cold symptoms

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Sore throat

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Terrible cough, wheezing, sore throat, headache, weak feeling throughout body.

Release 7 — day 21, dose 1

2021-04-24

Symptoms: Covid

Release 9 — 6 months, dose 1

2021-10-02

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

FieldPreferred term2021-092023-042024-11
HCVOEmergency care · · ✓
HCVOMedical counselling · · ✓
HCVOPeripheral swelling · · ✓
SDAsthenia ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 ✓ ✓ ✓
SDEmergency care · · ✓
SDHeadache ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain in extremity · · ✓
SDPeripheral swelling · · ✓
SDPulmonary mass · · ✓
SDWheezing ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROWheezing ✓ ✓ ✓

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