6EZ-28748-03051
3 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 520 / IA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-19
-
2021-01-28
Survey response — day 28, dose 1MedDRA: Asthma, COVID-19, Chest X-ray abnormal, Chest discomfort, Cough, Fatigue, Wheezing — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Rattle in chest. Wheezing with cough and some fatigue. I have asthma and went to acute care. No temp, oxygen level good,chest X-rays revealed infection, no loss of smell or taste. Doctor thought I didnt have Covid but took test anyway. Not flu.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-09
-
2021-02-23
Dose 2 — Moderna
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, HeadacheAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
-
2021-08-24
Survey response — 6 months, dose 2MedDRA: Nephrolithiasis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Kidney stoneMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-02
Dose 3 — Moderna
-
2022-03-01
Survey response — 12 months, dose 2MedDRA: Adverse reaction, Asthma, Nephrolithiasis, Urinary tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: In June 2021 I had a small kidney stone and UTI; with medication, it was able to release on its own by the end of the month, along with the UTI. I have on and off symptoms of allergies and asthma, otherwise, doing well.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-01
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 28, dose 1
Symptoms: Rattle in chest. Wheezing with cough and some fatigue. I have asthma and went to acute care. No temp, oxygen level good,chest X-rays revealed infection, no loss of smell or taste. Doctor thought I didnt have Covid but took test anyway. Not flu.
Release 9 — 6 months, dose 2
Symptoms: Kidney stone
Release 11 — 12 months, dose 2
Symptoms: In June 2021 I had a small kidney stone and UTI; with medication, it was able to release on its own by the end of the month, along with the UTI. I have on and off symptoms of allergies and asthma, otherwise, doing well.
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 | Adverse reaction | · | · | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest X-ray abnormal | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nephrolithiasis | ✓ | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release