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
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Bronchiectasis, Chronic obstructive pulmonary disease, Deafness, Dyspnoea, Pre-existing disease — Feeling: FairFree 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
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-15
Survey response — day 35, dose 2MedDRA: Cough, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree 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 20thMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-24
- 2021-06-12
- 2021-09-09
- 2022-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Bronchiectasis | ✓ | ✓ | ✓ |
| SRO | Chronic obstructive pulmonary disease | ✓ | ✓ | ✓ |
| SRO | Deafness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release