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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

  1. 2021-02-05
    Dose 1 — Moderna
  2. 2021-03-05
    Registered in v-safe
  3. 2021-03-05
    Dose 2 — Moderna
  4. 2021-03-05
    Survey response — day 0, dose 2
    MedDRA: Discomfort, Feeling abnormal, Medical counselling, Nasal congestion — Feeling: Good · Headache · Get care from a doctor or other healthcare professional
    Free 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 zpak
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-05
    Report sent to call center — day 0, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Peripheral swelling — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness
    Free text: Arm where the injection was is swollen, seems worse than original
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pharyngeal swelling, Respiratory tract congestion, Throat irritation — Feeling: Good · Site: Swelling · Headache
    Free 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
  10. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site swelling — Feeling: Good · Site: Swelling · Fatigue or tiredness
    Free 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
  11. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion — Feeling: Fair · Site: Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Stuffy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-12
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-03-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-26
    Survey response — day 21, dose 2
    MedDRA: Pneumonia, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Mass infections in my lungs. Have been on antibiotics · Healthcare visit (other): Pulmonologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-26
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-07
    Survey response — 6 months, dose 2
    MedDRA: Office visit, Pulmonary mass — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Masses grew in my lungs · Healthcare visit (other): My pulmonologist
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-09-07
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-09-08

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-05Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-03-05 Unsuccessful
2021-03-26 Unsuccessful
2021-09-07 Unsuccessful

Free text

Release 5 — day 0, dose 2

2021-03-05

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

2021-03-08

Systemic reaction (other): Arm where the injection was is swollen, seems worse than original

2021-03-09

Systemic reaction (other): Still stuffy in the head and foggy throat especially during night and morning the swelling is large and swollen?

2021-03-10

Systemic reaction (other): The site of the injection is still swollen. A larger bump?

2021-03-11

Systemic reaction (other): Stuffy.

Release 6 — day 21, dose 2

2021-03-26

Symptoms: Mass infections in my lungs. Have been on antibiotics
Healthcare visit (other): Pulmonologist

Release 9 — 6 months, dose 2

2021-09-07

Symptoms: Masses grew in my lungs
Healthcare visit (other): My pulmonologist

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit · · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDPneumonia ✓ ✓ ✓
SDPulmonary mass · · ✓
SRODiscomfort ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROPharyngeal swelling ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release