4YA-28223-44253
3 vaccinations
4 coded responses
37 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 067 / CT
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-21
Survey response — day 42, dose 2MedDRA: Abnormal sensation in eye, Chills, Dry skin, Feeling hot, Pain — Feeling: GoodFree text: Chills,some body aches, and feeling very warm or hot but my temp was 97.5. It went away in 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
-
2021-09-08
Survey response — 6 months, dose 2MedDRA: Cough, Dyspnoea, Musculoskeletal chest pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Possible myocarditis, severe coughing for a few weeks then it went away and then shortness of breath and very bad pain in my left rib cage. Doctor put me on prednisone which has helped me to breath and the rib cage pain is almost gone. I had an xrayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-12
- 2021-11-17
- 2021-11-24
-
2021-12-01
Survey response — day 35, dose 3MedDRA: Condition aggravated, Cough, Musculoskeletal chest pain, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Cough, pain on my left side by my rib cage it hurts,I had the same condition the beginning of September. The doctor said it might be myocarditis and gave me prednisone and it seem to clear up. Now it's back. · Healthcare visit (other): My pulmonologistMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-03
- 2021-12-08
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Anosmia, Fatigue, Oropharyngeal pain, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore throat,tired,body aches for 2 days Couldn't smell anythingMedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 42, dose 2
Symptoms: Chills,some body aches, and feeling very warm or hot but my temp was 97.5. It went away in 24 hours.
Release 9 — 6 months, dose 2
Symptoms: Possible myocarditis, severe coughing for a few weeks then it went away and then shortness of breath and very bad pain in my left rib cage. Doctor put me on prednisone which has helped me to breath and the rib cage pain is almost gone. I had an xray cut off by CDC
Release 10 — day 35, dose 3
Symptoms: Cough, pain on my left side by my rib cage it hurts,I had the same condition the beginning of September. The doctor said it might be myocarditis and gave me prednisone and it seem to clear up. Now it's back.
Healthcare visit (other): My pulmonologist
Release 11 — 3 months, dose 3
Symptoms: Sore throat,tired,body aches for 2 days Couldn't smell anything
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 | Office visit | · | · | ✓ |
| SD | Abnormal sensation in eye | ✓ | ✓ | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Musculoskeletal chest pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release