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6H7-18002-03991

2 vaccinations 2 coded responses 18 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
134 / NY
Registered
2021-02-11
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Registered in v-safe
  2. 2021-02-11
    Dose 1 — Moderna
  3. 2021-02-11
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  6. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  7. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthma, Bronchiectasis, Chronic obstructive pulmonary disease, Deafness, Dyspnoea, Pre-existing disease — Feeling: Fair
    Free text: S.O.B..Suffer with COPD..Bronchictasis,Astma..I dont think my problem is from the COVID-19 Shot.But needed ti start Prednisone and Antibiotics 2/16/21.Will this affect my second shot,3/11/21. Please text your response. Im deaf.Thank you.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-11
    Dose 2 — Moderna
  14. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-08
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-04-15
    Survey response — day 35, dose 2
    MedDRA: Cough, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Since last shot March 11, breathing, coughing , thick mucus. Needed antibiotics and prednisone . Suffer with COPD, bronchitis, asthma . Prior to vaccinate,past years no problem, with breathing was doing well. · Healthcare visit (other): Will see primary dr April 20th
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-15
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-04-24
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-06-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-04-01

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-11Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): S.O.B..Suffer with COPD..Bronchictasis,Astma..I dont think my problem is from the COVID-19 Shot.But needed ti start Prednisone and Antibiotics 2/16/21.Will this affect my second shot,3/11/21. Please text your response. Im deaf.Thank you.

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Since last shot March 11, breathing, coughing , thick mucus. Needed antibiotics and prednisone . Suffer with COPD, bronchitis, asthma . Prior to vaccinate,past years no problem, with breathing was doing well.
Healthcare visit (other): Will see primary dr April 20th

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
HCVOUnevaluable event ✓ ✓ ✓
SDCough ✓ ✓ ✓
SROAsthma ✓ ✓ ✓
SROBronchiectasis ✓ ✓ ✓
SROChronic obstructive pulmonary disease ✓ ✓ ✓
SRODeafness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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