4WX-16325-23593
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 146 / NY
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Moderna
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
-
2021-03-19
Dose 2 — Moderna
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea exertional — Feeling: Fair · Fatigue or tirednessFree text: During weekly watet walking class that I have done for years I experienced shortness of breath. Symptoms disappeared after afew minutes after ending activity. Have never experienced this before and have no history of heart disease.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: GoodFree text: Yesterday reported shortness of breath during exercise. I think it may have been caused by the mask I was wearing a total of 4 layers. Once I removed the mask I was fine within a minute or two.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-04-02
- 2021-09-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-19 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): During weekly watet walking class that I have done for years I experienced shortness of breath. Symptoms disappeared after afew minutes after ending activity. Have never experienced this before and have no history of heart disease.
Systemic reaction (other): Yesterday reported shortness of breath during exercise. I think it may have been caused by the mask I was wearing a total of 4 layers. Once I removed the mask I was fine within a minute or two.
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 |
|---|---|---|---|---|
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Dyspnoea exertional | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release