6SS-22206-40901
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 276 / NC
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Pain from injection site to fingers.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 28, dose 2MedDRA: Dyspnoea exertional, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ive had several episode of pulmonary embolism in past year and have developed pulmonary hypertension and rt heart enlargement. Wear oxygen and SOB on exertion recentlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-09
Survey response — day 42, dose 2MedDRA: Dyspnoea, Pulmonary embolism, Pulmonary hypertension — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have been diagnosed with pulmonary hypertension due to pulmonary embolisms I am sob and wearing o2.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pulmonary hypertension and heart failure from 2 pulmonary embolismsWhich I survived.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Cardiac failure congestive, Chronic obstructive pulmonary disease, Dyspnoea, Pulmonary embolism — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Sob due to chf and COPD acquired from pulmonary emboli not related to covidMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
- 2022-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain from injection site to fingers.
Release 6 — day 28, dose 2
Symptoms: Ive had several episode of pulmonary embolism in past year and have developed pulmonary hypertension and rt heart enlargement. Wear oxygen and SOB on exertion recently
Release 7 — day 42, dose 2
Symptoms: I have been diagnosed with pulmonary hypertension due to pulmonary embolisms I am sob and wearing o2.
Release 8 — 3 months, dose 2
Symptoms: Pulmonary hypertension and heart failure from 2 pulmonary embolismsWhich I survived.
Release 9 — 6 months, dose 2
Symptoms: Sob due to chf and COPD acquired from pulmonary emboli not related to covid
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 | Cardiac failure congestive | ✓ | · | ✓ |
| SD | Chronic obstructive pulmonary disease | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea exertional | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pulmonary embolism | ✓ | ✓ | ✓ |
| SD | Pulmonary hypertension | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release