4VM-17818-37866
1 vaccination
3 coded responses
4 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 711 / LA
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
-
2021-02-20
Survey response — day 14, dose 1MedDRA: Impaired work ability, Office visit — Feeling: Fair · Be unable to work, 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: I have not wirked for 2 weeks every since the first Moderna vaccine. · Healthcare visit (other): Face to face visit with ENT/ALLERGIST Dr. (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-27
Survey response — day 21, dose 1MedDRA: Impaired work ability, Influenza virus test negative, Respiratory symptom, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, 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: I was unable to work for two weeks after the FIRST vaccine. My job required me to hve rapid and longer results COVID-19 test. Botb were negative . Work Required flu test negatuve. I went to Allergy doctor who IM steriod and upper res. symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-07
- 2021-08-11
-
2021-08-11
Callback requested for05:00PM ET
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2022-02-06
Survey response — 12 months, dose 1MedDRA: Gouty arthritis, Illness, Impaired work ability, Medical counselling, Unevaluable event — Feeling: Fair · Be unable to work or attend school, 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: Two long bouts of Arthritis Gout so more time off work no pay going on 14 days. · Healthcare visit (other): My PCP is off her practice had a baby. I saw 2 of her nurse practitoners. One for each foot. Im in trouble with my job over excessive time off due to illness.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-06
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-08
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: I have not wirked for 2 weeks every since the first Moderna vaccine.
Healthcare visit (other): Face to face visit with ENT/ALLERGIST Dr. (b)(6)
redacted (b)(6)
Release 4 — day 21, dose 1
Symptoms: I was unable to work for two weeks after the FIRST vaccine. My job required me to hve rapid and longer results COVID-19 test. Botb were negative . Work Required flu test negatuve. I went to Allergy doctor who IM steriod and upper res. symptoms.
Release 11 — 12 months, dose 1
Symptoms: Two long bouts of Arthritis Gout so more time off work no pay going on 14 days.
Healthcare visit (other): My PCP is off her practice had a baby. I saw 2 of her nurse practitoners. One for each foot. Im in trouble with my job over excessive time off due to illness.
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 | Impaired work ability | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Gouty arthritis | · | · | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Influenza virus test negative | ✓ | ✓ | ✓ |
| SD | Respiratory symptom | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release