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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

  1. 2020-12-29
    Dose 1 — Moderna
  2. 2021-01-14
    Registered in v-safe
  3. 2021-01-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-28
    Survey response — day 28, dose 1
    MedDRA: 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 activities
    Free 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
  6. 2021-02-02
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-09
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-02-23
    Dose 2 — Moderna
  9. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache
    Adult check-in
  10. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness
    Adult check-in
  11. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  12. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  14. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-24
    Survey response — 6 months, dose 2
    MedDRA: Nephrolithiasis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Kidney stone
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2021-11-02
    Dose 3 — Moderna
  24. 2022-03-01
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free 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
  25. 2022-03-01
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  26. 2022-03-03

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-02-23Moderna
32021-11-02Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — day 28, dose 1

2021-01-28

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

2021-08-24

Symptoms: Kidney stone

Release 11 — 12 months, dose 2

2022-03-01

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

FieldPreferred term2021-092023-042024-11
SDAdverse reaction · · ✓
SDAsthma ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDChest X-ray abnormal ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDNephrolithiasis ✓ · ✓
SDUrinary tract infection · · ✓
SDWheezing ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release