55H-28027-61946
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 752 / TX
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Headache probably from allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
-
2021-02-01
Survey response — day 14, dose 1MedDRA: Lower respiratory tract infection — Feeling: GoodFree text: Chest coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — day 21, dose 1MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dry hacking cough, sinus drainage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-20
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-28
- 2021-04-03
- 2021-04-12
-
2021-05-29
Survey response — 3 months, dose 2MedDRA: Cough, Disorientation, Dyspnoea, Office visit, Respiratory tract congestion, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Symptoms: Unable to breath, severe chest congestion and sinus. Totally disoriented. Very scary. Zpak, steroids, increase inhaler strength. Still lingering minor cough, sinus and a little confusion. 2x COVID tests negative. Not one done at the emergency room. · Healthcare visit (other): office visit as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-29
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-28
Survey response — 6 months, dose 2MedDRA: Paranasal sinus discomfort, Pre-existing disease — Feeling: FairFree text: Sinus pressure, allergies, normal at this time of the year.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-16
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Headache probably from allergies.
Release 3 — day 14, dose 1
Symptoms: Chest cold
Release 3 — day 21, dose 1
Symptoms: Dry hacking cough, sinus drainage.
Release 8 — 3 months, dose 2
Symptoms: Unable to breath, severe chest congestion and sinus. Totally disoriented. Very scary. Zpak, steroids, increase inhaler strength. Still lingering minor cough, sinus and a little confusion. 2x COVID tests negative. Not one done at the emergency room. cut off by CDC
Healthcare visit (other): office visit as well.
Release 9 — 6 months, dose 2
Symptoms: Sinus pressure, allergies, normal at this time of the year.
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 | Disorientation | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Lower respiratory tract infection | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | · | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release