64K-20210-95984
4 vaccinations
6 coded responses
27 check-ins
6 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 135 / NY
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
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2021-01-17
Registered in v-safe
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body achesAdult check-in
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2021-01-22
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-29
- 2021-02-05
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2021-02-12
Dose 2 — Moderna
- 2021-02-12
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Joint pains, Fatigue or tirednessAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-17
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2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-19
Health check-in — day 7, dose 2Feeling: Good · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-26
Survey response — day 14, dose 2MedDRA: Erythema of eyelid, Eyelids pruritus — Feeling: GoodFree text: One eyelid is red and itchy, not able to open it fully.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — day 21, dose 2MedDRA: Hordeolum, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Developed a stye in one eye. Have been treating it for 7 days, but not gone yet. · Healthcare visit (other): At eye Drs office in personMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-12
Survey response — day 28, dose 2MedDRA: Hordeolum, Specialist consultation — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Still have large stye on one eyelid. On antibiotic pills but nothing has changed · Healthcare visit (other): In person exam by eye specialistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-19
- 2021-03-29
- 2021-05-14
- 2021-07-30
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2021-08-15
Survey response — 6 months, dose 2MedDRA: Coronary arterial stent insertion, Myocardial infarction — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Heart attack and stent July 6,2021MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-15
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)
- 2021-08-19
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2021-11-05
Dose 3 — Moderna
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2022-02-12
Survey response — 12 months, dose 2MedDRA: Myocardial infarction — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Heart attack -7/2021MedDRA releases: 2024-11 · check-in free text available
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2022-02-12
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-02-15
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2022-03-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-04
Dose 4 — Moderna
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-07-04
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2022-10-05
Survey response — 6 months, dose 4MedDRA: Atrial fibrillation, Hospitalisation, Transient ischaemic attack — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Atrial Fib and TIA put me in hospital 9/15-17. Had to get AF under control. No permanent damage from TIA.MedDRA releases: 2024-11 · check-in free text available
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2022-10-05
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-10-06
Call successfulCompleted over the phone
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
Call center
6 call center cases
5 successful · 1 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 2
Symptoms: One eyelid is red and itchy, not able to open it fully.
Release 5 — day 21, dose 2
Symptoms: Developed a stye in one eye. Have been treating it for 7 days, but not gone yet.
Healthcare visit (other): At eye Drs office in person
Release 5 — day 28, dose 2
Symptoms: Still have large stye on one eyelid. On antibiotic pills but nothing has changed
Healthcare visit (other): In person exam by eye specialist
Release 9 — 6 months, dose 2
Symptoms: Heart attack and stent July 6,2021
Release 11 — 12 months, dose 2
Symptoms: Heart attack -7/2021
Release 12 — 6 months, dose 4
Symptoms: Atrial Fib and TIA put me in hospital 9/15-17. Had to get AF under control. No permanent damage from TIA.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Coronary arterial stent insertion | ✓ | · | ✓ |
| SD | Erythema of eyelid | ✓ | ✓ | ✓ |
| SD | Eyelids pruritus | ✓ | ✓ | ✓ |
| SD | Hordeolum | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Myocardial infarction | ✓ | · | ✓ |
| SD | Transient ischaemic attack | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release