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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

  1. 2021-06-22
    Dose 1 — Moderna
  2. 2021-07-20
    Dose 2 — Moderna
  3. 2021-07-30
    Registered in v-safe
  4. 2021-07-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-08-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-08-17
    Survey response — day 28, dose 2
    MedDRA: 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 professional
    Free text: Symptoms: Night sweats ,headache, stomach cramps · Healthcare visit (other): Phone call
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-17
    Report sent to call center — day 28, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-08-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-08-31
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Gastric disorder, Headache, Oral discomfort, Oropharyngeal pain, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to work or attend school
    Free 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 usual
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  10. 2021-10-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-12-13
  12. 2021-12-16
  13. 2022-01-19
    Survey response — 6 months, dose 2
    MedDRA: Choking, Cough — Feeling: Good
    Free text: Unexplained chocking cough spell that lasted a few minutes that's all it happened while at work
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-07-20
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free 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 gentilezza
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-07-20
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2022-07-21
    Call successful
    Does not wish to fill out VAERS report
  17. 2022-07-21
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-06-22Moderna No
22021-07-20Moderna No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 9 — day 28, dose 2

2021-08-17

Symptoms: Night sweats ,headache, stomach cramps
Healthcare visit (other): Phone call

Release 9 — day 42, dose 2

2021-08-31

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

2022-01-19

Symptoms: Unexplained chocking cough spell that lasted a few minutes that's all it happened while at work

Release 12 — 12 months, dose 2

2022-07-20

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ · ✓
HCVOOffice visit · · ✓
SDAbdominal pain upper ✓ · ✓
SDBronchitis · · ✓
SDChoking · · ✓
SDCough · · ✓
SDDyspnoea · · ✓
SDFatigue ✓ · ✓
SDGastric disorder ✓ · ✓
SDHeadache ✓ · ✓
SDHypertension · · ✓
SDNight sweats ✓ · ✓
SDOral discomfort ✓ · ✓
SDOropharyngeal pain ✓ · ✓
SDPre-existing disease ✓ · ✓
SDSARS-CoV-2 test negative · · ✓
SDUnevaluable event ✓ · ✓
SDWheezing · · ✓

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