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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

  1. 2021-02-06
    Dose 1 — Moderna
  2. 2021-02-19
    Registered in v-safe
  3. 2021-02-20
    Survey response — day 14, dose 1
    MedDRA: 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 visit
    Free 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
  4. 2021-02-20
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-27
    Survey response — day 21, dose 1
    MedDRA: 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 visit
    Free 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
  6. 2021-02-27
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-03-07
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-08-11
  9. 2021-08-11
  10. 2022-02-06
    Survey response — 12 months, dose 1
    MedDRA: 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 visit
    Free 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
  11. 2022-02-06
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  12. 2022-02-08
  13. 2022-02-11

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-20

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

2021-02-27

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

2022-02-06

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

FieldPreferred term2021-092023-042024-11
HCVOIllness · · ✓
HCVOImpaired work ability · · ✓
HCVOMedical counselling · · ✓
HCVOOffice visit ✓ ✓ ✓
HCVOUnevaluable event · · ✓
SDGouty arthritis · · ✓
SDImpaired work ability ✓ ✓ ✓
SDInfluenza virus test negative ✓ ✓ ✓
SDRespiratory symptom ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓

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