F2H-20046-71955
4 vaccinations
5 coded responses
32 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 142 / NY
- Registered
- 2020-12-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-27
Registered in v-safe
-
2020-12-27
Dose 1 — Moderna
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-06
- 2021-01-10
- 2021-01-17
-
2021-01-24
Dose 2 — Moderna
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-07
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-07
-
2021-04-25
Survey response — 3 months, dose 2MedDRA: Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: VomitingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-25
-
2021-11-11
Dose 3 — Moderna
- 2022-01-24
- 2022-05-13
-
2022-09-09
Dose 4 — Pfizer-BioNTech
-
2022-10-06
Survey response — day 21, dose 4MedDRA: Breast mass — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Worsened breast lumpMedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-07
-
2022-10-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-14
Survey response — day 35, dose 4MedDRA: Breast cancer — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Breast Cancer diagnosedMedDRA releases: 2024-11 · check-in free text available
-
2022-10-14
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-21
-
2022-12-09
Survey response — 3 months, dose 4MedDRA: Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Related to chemoMedDRA releases: 2024-11 · check-in free text available
-
2022-12-09
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-03-10
Survey response — 6 months, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-10
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-01-24 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-09-09 | Pfizer-BioNTech | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 7 — 3 months, dose 2
Symptoms: Vomiting
Release 12 — day 21, dose 4
Symptoms: Worsened breast lump
Release 12 — day 35, dose 4
Symptoms: Breast Cancer diagnosed
Release 12 — 3 months, dose 4
Symptoms: Related to chemo
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 | Breast cancer | · | · | ✓ |
| SD | Breast mass | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release