4ZR-15342-44174
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 773 / TX
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-12
Registered in v-safe
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-05
Dose 2 — Moderna
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-20
- 2021-02-28
-
2021-03-05
Survey response — day 28, dose 2MedDRA: Cough, Diarrhoea, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diarrhea, headache, voughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-12
- 2021-03-21
-
2021-08-06
Survey response — 6 months, dose 2MedDRA: Dyspnoea, Dyspnoea exertional, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Difficulty breathing with little exertion or exercise. Even emptying the dishwasher gets me out of breath. · Healthcare visit (other): Office visits to pulmonologist and allergy testingMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-06
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-10
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: Office visit, Pre-existing disease, Respiratory disorder — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have plantar fascia and frequent stomach issues of diarrhea. I had severe breathing issues that began 2 months after the vaccine. The doctors were unable to determine a cause , but it's normal now. · Healthcare visit (other): I saw an orthopedic surgeon for my foot. I also am seeing a GastroenterologistMedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 5 — day 28, dose 2
Symptoms: Diarrhea, headache, vough
Release 9 — 6 months, dose 2
Symptoms: Difficulty breathing with little exertion or exercise. Even emptying the dishwasher gets me out of breath.
Healthcare visit (other): Office visits to pulmonologist and allergy testing
Release 11 — 12 months, dose 2
Symptoms: I have plantar fascia and frequent stomach issues of diarrhea. I had severe breathing issues that began 2 months after the vaccine. The doctors were unable to determine a cause , but it's normal now.
Healthcare visit (other): I saw an orthopedic surgeon for my foot. I also am seeing a Gastroenterologist
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 | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Dyspnoea exertional | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release