3YM-31474-33104
5 vaccinations
2 coded responses
43 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 144 / NY
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-26
Registered in v-safe
- 2021-01-26
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-19
Survey response — day 35, dose 2MedDRA: Increased viscosity of upper respiratory secretion, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A cold. Stuffy nose and yellowish thick mucus with drainage from nose and the back of my throat. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-05-14
-
2021-08-14
Survey response — 6 months, dose 2MedDRA: Cough, Ear discomfort, Fatigue, Illness, Medical counselling, Middle ear effusion, Office visit, Oropharyngeal pain, Rhinorrhoea, Sputum discoloured — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: In the second week of July I started to have a sore throat, clear nasal drainage. It progressed to frequent coughing, thick yellow nasal drainage, both ears blocked- like pressure or fluid in the ears and fatigue. I never had an elevated temperature. · Healthcare visit (other): Husband is a physician & treated symptoms & when illness persistent went to urgent care & lastly saw an ENT Specialist.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-14
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-22
-
2021-10-22
Dose 3 — Moderna
-
2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-10-28
- 2021-10-30
- 2021-11-05
- 2021-11-12
- 2021-11-20
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-03-30
Dose 4 — Moderna
- 2022-04-18
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-06-29
-
2022-09-07
Dose 5 — Moderna
- 2022-09-24
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-12-09
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-03-30 | Moderna | No |
| 5 | 2022-09-07 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 35, dose 2
Symptoms: A cold. Stuffy nose and yellowish thick mucus with drainage from nose and the back of my throat. No fever.
Release 9 — 6 months, dose 2
Symptoms: In the second week of July I started to have a sore throat, clear nasal drainage. It progressed to frequent coughing, thick yellow nasal drainage, both ears blocked- like pressure or fluid in the ears and fatigue. I never had an elevated temperature. cut off by CDC
Healthcare visit (other): Husband is a physician & treated symptoms & when illness persistent went to urgent care & lastly saw an ENT Specialist.
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 | Illness | ✓ | · | ✓ |
| HCVO | Medical counselling | ✓ | · | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Ear discomfort | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Increased viscosity of upper respiratory secretion | ✓ | ✓ | ✓ |
| SD | Middle ear effusion | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sputum discoloured | ✓ | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release