66G-32124-03603
1 vaccination
2 coded responses
2 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 274 / NC
- Registered
- 2021-07-19
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-01
Dose 1 — Moderna
-
2021-07-19
Registered in v-safe
-
2021-07-19
Survey response — day 14, dose 1MedDRA: Choking, Gastrooesophageal reflux disease, Lichen planus, Pain, Rotator cuff syndrome, Unevaluable event — Feeling: Poor · 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: Just ache all over because Im no longer taking humors and I need 3 different surgeries, so the torn rotator cuff and my back is giving me hell. I have severe Lichen Planus to the point that I choke when I eat food my acid reflux is uncontrollable!MedDRA releases: 2024-11 · check-in free text available
-
2021-07-19
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)
- 2021-07-26
- 2021-09-15
- 2021-10-04
-
2021-10-05
Callback requested for02:30PM ET
- 2021-10-05
-
2022-01-01
Survey response — 6 months, dose 1MedDRA: Exposure to SARS-CoV-2, Fatigue, Immunosuppression, Migraine, Nausea, Quarantine, Rhinorrhoea, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activitiesFree text: First I went on isolation if I didn't tell you,because I came in contact with someone with Covid and someone with Sars2. I'm now having runny nose, migraines,unexplained nausea and fatigue, want to be tested because I'm immuno suppressed and need yedMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-01 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 14, dose 1
Symptoms: Just ache all over because Im no longer taking humors and I need 3 different surgeries, so the torn rotator cuff and my back is giving me hell. I have severe Lichen Planus to the point that I choke when I eat food my acid reflux is uncontrollable!
Release 10 — 6 months, dose 1
Symptoms: First I went on isolation if I didn't tell you,because I came in contact with someone with Covid and someone with Sars2. I'm now having runny nose, migraines,unexplained nausea and fatigue, want to be tested because I'm immuno suppressed and need yed cut off by CDC
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 |
|---|---|---|---|---|
| SD | Choking | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Immunosuppression | · | · | ✓ |
| SD | Lichen planus | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release