4BH-11018-68699
3 vaccinations
8 coded responses
36 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 152 / PA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
- 2021-02-03
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Fever · HeadacheFree text: SOB when I woke upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Site: Swelling · Fever · HeadacheFree text: Short of breath at time where I did not have it prior, or when I had covidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Respiratory tract congestion — Feeling: Good · FeverFree text: Congestion in my head and cough. Used my nebulizer last night and this am it helpedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · HeadacheFree text: Still having some sob with imcreased activity like walking extraMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-03-02
Dose 2 — Moderna
- 2021-03-02
-
2021-03-02
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Atrial fibrillation, Medical counselling, Palpitations — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): I am on a heart monitor for 1MoreWeek last Ight o had a fib the Dr called me today, · Healthcare visit (other): For the Aron, I had palpatationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-03-09
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Chest xrayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-06-01
- 2021-08-31
-
2021-10-22
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
-
2021-11-12
Survey response — day 21, dose 3MedDRA: Headache, Nausea, Vomiting — Feeling: FairFree text: Headache nausea puked head ache comes And goes no feverMedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Call successfulDoes not wish to fill out VAERS report
- 2021-11-21
- 2021-11-26
- 2021-12-03
-
2022-01-21
Survey response — 3 months, dose 3MedDRA: Arthritis, COVID-19, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have arthritis it has been awful since covidMedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): SOB when I woke up
Systemic reaction (other): Short of breath at time where I did not have it prior, or when I had covid
Systemic reaction (other): Congestion in my head and cough. Used my nebulizer last night and this am it helped
Systemic reaction (other): Still having some sob with imcreased activity like walking extra
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I am on a heart monitor for 1MoreWeek last Ight o had a fib the Dr called me today,
Healthcare visit (other): For the Aron, I had palpatations
Release 5 — day 7, dose 2
Healthcare visit (other): Chest xray
Release 10 — day 21, dose 3
Symptoms: Headache nausea puked head ache comes And goes no fever
Release 11 — 3 months, dose 3
Symptoms: I have arthritis it has been awful since covid
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 | Palpitations | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Atrial fibrillation | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release