4RQ-15924-21246
2 vaccinations
4 coded responses
8 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 187 / PA
- Registered
- 2021-07-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-06-22
Dose 1 — Moderna
-
2021-07-20
Dose 2 — Moderna
-
2021-07-30
Registered in v-safe
- 2021-07-30
- 2021-08-03
-
2021-08-17
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Headache, Medical counselling, Night sweats — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Night sweats ,headache, stomach cramps · Healthcare visit (other): Phone callMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-17
Report sent to call center — day 28, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
-
2021-08-31
Survey response — day 42, dose 2MedDRA: Fatigue, Gastric disorder, Headache, Oral discomfort, Oropharyngeal pain, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to work or attend schoolFree text: More headaches some stomach issues I never did My lips feel very sensitive like burning , also my finger and toes have a mild sore throat more tired than usualMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-19
- 2021-12-13
- 2021-12-16
-
2022-01-19
Survey response — 6 months, dose 2MedDRA: Choking, Cough — Feeling: GoodFree text: Unexplained chocking cough spell that lasted a few minutes that's all it happened while at workMedDRA releases: 2024-11 · check-in free text available
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2022-07-20
Survey response — 12 months, dose 2MedDRA: Bronchitis, Dyspnoea, Hypertension, Office visit, SARS-CoV-2 test negative, Wheezing — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had bronchitis pretty bad on inhaler , wheezing got home tested for COVID 8 times negative Developed high blood pressure shortness of breath · Healthcare visit (other): Dr Olivia gentilezzaMedDRA releases: 2024-11 · check-in free text available
-
2022-07-20
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-21
Call successfulDoes not wish to fill out VAERS report
-
2022-07-21
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-22 | Moderna | No |
| 2 | 2021-07-20 | Moderna | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 9 — day 28, dose 2
Release 9 — day 42, dose 2
Symptoms: More headaches some stomach issues I never did My lips feel very sensitive like burning , also my finger and toes have a mild sore throat more tired than usual
Release 10 — 6 months, dose 2
Symptoms: Unexplained chocking cough spell that lasted a few minutes that's all it happened while at work
Release 12 — 12 months, dose 2
Symptoms: I had bronchitis pretty bad on inhaler , wheezing got home tested for COVID 8 times negative Developed high blood pressure shortness of breath
Healthcare visit (other): Dr Olivia gentilezza
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 | Medical counselling | ✓ | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | ✓ | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Choking | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Gastric disorder | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Night sweats | ✓ | · | ✓ |
| SD | Oral discomfort | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
| SD | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release