57T-32450-91051
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 752 / TX
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-17
Registered in v-safe
- 2021-01-17
- 2021-01-19
- 2021-01-22
-
2021-01-27
Survey response — day 14, dose 1MedDRA: Cough, Influenza, Nasopharyngitis, Oropharyngeal discomfort, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough worsened.. more throat and chest discomfort at times.. using throat spray and neti pot.. using Mucinex for flu symptoms, as determined by doctor.. Before taking the vaccine, treated for the common cold.. tested negative for flu and covid..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-04
Survey response — day 21, dose 1MedDRA: Bronchitis, Cough, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My coughing has increased. My doctor ordered an x-ray yesterday...no pneumonia...possible bronchitis.....prescribed cough meds.... · Healthcare visit (other): in office treatmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-10
Dose 2 — Moderna
- 2021-02-13
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Bronchial disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: moderate bronchial condition present before shotsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-17
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: Good · ChillsFree text: noMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-06
- 2021-06-07
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 1
Symptoms: Cough worsened.. more throat and chest discomfort at times.. using throat spray and neti pot.. using Mucinex for flu symptoms, as determined by doctor.. Before taking the vaccine, treated for the common cold.. tested negative for flu and covid..
Release 3 — day 21, dose 1
Symptoms: My coughing has increased. My doctor ordered an x-ray yesterday...no pneumonia...possible bronchitis.....prescribed cough meds....
Healthcare visit (other): in office treatment
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): moderate bronchial condition present before shots
Release 4 — day 7, dose 2
Systemic reaction (other): no
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 | Bronchitis | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Bronchial disorder | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release