Y7P-29044-80134
2 vaccinations
7 coded responses
13 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 349 / FL
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-05
Dose 1 — Moderna
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2021-03-05
Registered in v-safe
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2021-03-05
Dose 2 — Moderna
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2021-03-05
Survey response — day 0, dose 2MedDRA: Discomfort, Feeling abnormal, Medical counselling, Nasal congestion — Feeling: Good · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): After my first shit, the next few days I felt awful. My sinuses became stuffy. And uncomfortable. · Healthcare visit (other): Primary gave me 5 day zpakMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling — Feeling: Fair · Site: Swelling · Headache, Fatigue or tirednessFree text: Arm where the injection was is swollen, seems worse than originalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Pharyngeal swelling, Respiratory tract congestion, Throat irritation — Feeling: Good · Site: Swelling · HeadacheFree text: Still stuffy in the head and foggy throat especially during night and morning the swelling is large and swollen?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: The site of the injection is still swollen. A larger bump?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Fair · Site: Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Stuffy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — day 7, dose 2Feeling: Fair · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-03-19
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2021-03-26
Survey response — day 21, dose 2MedDRA: Pneumonia, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Mass infections in my lungs. Have been on antibiotics · Healthcare visit (other): PulmonologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-02
- 2021-04-18
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2021-09-07
Survey response — 6 months, dose 2MedDRA: Office visit, Pulmonary mass — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Masses grew in my lungs · Healthcare visit (other): My pulmonologistMedDRA releases: 2024-11 · check-in free text available
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2021-09-07
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-05 | Unsuccessful | |
| 2021-03-26 | Unsuccessful | |
| 2021-09-07 | Unsuccessful |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): After my first shit, the next few days I felt awful. My sinuses became stuffy. And uncomfortable.
Healthcare visit (other): Primary gave me 5 day zpak
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Arm where the injection was is swollen, seems worse than original
Systemic reaction (other): Still stuffy in the head and foggy throat especially during night and morning the swelling is large and swollen?
Systemic reaction (other): The site of the injection is still swollen. A larger bump?
Systemic reaction (other): Stuffy.
Release 6 — day 21, dose 2
Symptoms: Mass infections in my lungs. Have been on antibiotics
Healthcare visit (other): Pulmonologist
Release 9 — 6 months, dose 2
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pulmonary mass | · | · | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release