4VF-20946-49487
2 vaccinations
10 coded responses
23 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 800 / CO
- Registered
- 2021-07-30
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-07-29
Dose 1 — Moderna
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2021-07-30
Registered in v-safe
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2021-07-30
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: Breathing problem. I was having difficult to breathe.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-31
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Respiratory tract congestion, Secretion discharge — Feeling: Fair · Site: PainFree text: Left side was hurting, left brain. Feel like the air way is bloocking. Upper lungs and the airways . The mucus started developing..MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-01
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Lung disorder — Feeling: FairFree text: Difficult breathing, i feel like something wrong with my lungs.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-02
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Secretion discharge — Feeling: Fair · Headache, Abdominal painFree text: Mucus and shortest of breath..MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-03
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2021-08-04
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain, Hypopnoea, Oedema peripheral — Feeling: Fair · Site: PainFree text: I got a bump under my left armpit. Very sore. Breathing still shallowMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-05
Survey response — day 7, dose 1MedDRA: Dyspnoea, Limb mass — Feeling: Fair · Site: PainFree text: Shortest of breath and still have a lump in my left armMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-12
- 2021-08-19
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2021-08-25
Dose 2 — Moderna
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2021-08-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-08-27
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-08-31
- 2021-09-01
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2021-09-08
Survey response — day 14, dose 2MedDRA: Dyspnoea — Feeling: FairFree text: Difficult breathing,MedDRA releases: 2024-11 · check-in free text available
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2021-09-15
Survey response — day 21, dose 2MedDRA: Dyspnoea — Feeling: FairFree text: Difficult breathingMedDRA releases: 2024-11 · check-in free text available
- 2021-09-22
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2021-09-29
Survey response — day 35, dose 2MedDRA: Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Feeling sick almost all day..MedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Survey response — day 42, dose 2MedDRA: Abdominal distension, Dyspnoea, Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still feel sick, sometimes i feel better sometime i feel very sick, bloated and difficult breathingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2022-08-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-29 | Moderna | No |
| 2 | 2021-08-25 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Breathing problem. I was having difficult to breathe.
Systemic reaction (other): Left side was hurting, left brain. Feel like the air way is bloocking. Upper lungs and the airways . The mucus started developing..
Systemic reaction (other): Difficult breathing, i feel like something wrong with my lungs.
Systemic reaction (other): Mucus and shortest of breath..
Systemic reaction (other): I got a bump under my left armpit. Very sore. Breathing still shallow
Release 9 — day 7, dose 1
Systemic reaction (other): Shortest of breath and still have a lump in my left arm
Release 9 — day 14, dose 2
Symptoms: Difficult breathing,
Release 9 — day 21, dose 2
Symptoms: Difficult breathing
Release 9 — day 35, dose 2
Symptoms: Feeling sick almost all day..
Release 10 — day 42, dose 2
Symptoms: Still feel sick, sometimes i feel better sometime i feel very sick, bloated and difficult breathing
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 |
|---|---|---|---|---|
| SD | Abdominal distension | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SRO | Axillary pain | ✓ | · | ✓ |
| SRO | Dyspnoea | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Hypopnoea | ✓ | · | ✓ |
| SRO | Limb mass | ✓ | · | ✓ |
| SRO | Lung disorder | ✓ | · | ✓ |
| SRO | Oedema peripheral | ✓ | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | · | ✓ |
| SRO | Secretion discharge | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release