MA5-19124-67706
2 vaccinations
6 coded responses
12 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 837 / ID
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Dose 1 — Moderna
-
2021-02-21
Dose 2 — Moderna
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2021-02-22
Registered in v-safe
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Cough — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Coughing, chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dyspnoea — Feeling: Fair · HeadacheFree text: Cough; shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — day 7, dose 2MedDRA: Cough — Feeling: Fair · Fatigue or tirednessFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
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2021-03-14
Survey response — day 21, dose 2MedDRA: Cough — Feeling: FairFree text: My cough that I developed 8-12 hours after may vaccine is still present. It started the same time as my other symptoms, but it has not resolved like the other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-04
- 2021-08-22
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2022-02-21
Survey response — 12 months, dose 2MedDRA: COVID-19, Office visit, Pregnancy — 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 professionalFree text: Symptoms: Contracted COVID 2 weeks ago · Healthcare visit (other): OB appointment (14 weeks pregnant)MedDRA releases: 2024-11 · check-in free text available
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2022-02-21
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-02-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-21 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Coughing, chest pain
Systemic reaction (other): Cough
Systemic reaction (other): Cough; shortness of breath
Release 4 — day 7, dose 2
Systemic reaction (other): Cough
Release 5 — day 21, dose 2
Symptoms: My cough that I developed 8-12 hours after may vaccine is still present. It started the same time as my other symptoms, but it has not resolved like the other symptoms.
Release 11 — 12 months, dose 2
Symptoms: Contracted COVID 2 weeks ago
Healthcare visit (other): OB appointment (14 weeks pregnant)
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 | Office visit | · | · | ✓ |
| HCVO | Pregnancy | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release