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ZEZ-21269-63352

2 vaccinations 4 coded responses 16 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
334 / FL
Registered
2021-03-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Dose 1 — Moderna
  2. 2021-03-25
    Registered in v-safe
  3. 2021-03-25
    Dose 2 — Moderna
  4. 2021-03-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Muscle or body aches
    Adult check-in
  6. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Shore upper left arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Slightly sore at vaccination area
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-27
    Survey response — 3 months, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I dont believe its related to the Vaccine since I am a cancer patient but I now am with the whole left lung collapsed and using oxygen and a wheelchair when going outside. The left lung was partially collapsed with a nodule before the second d
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-09-23
    Survey response — 6 months, dose 2
    MedDRA: Neoplasm malignant, Pneumothorax, Radiotherapy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Non COVID related cancer patient with collapsed lung which was treated last month with radiation. I am planning to get buster shot early next month after pet ct results.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-03-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Shore upper left arm

2021-03-29

Systemic reaction (other): Slightly sore at vaccination area

Release 9 — 3 months, dose 2

2021-06-27

Symptoms: I dont believe its related to the Vaccine since I am a cancer patient but I now am with the whole left lung collapsed and using oxygen and a wheelchair when going outside. The left lung was partially collapsed with a nodule before the second d

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: Non COVID related cancer patient with collapsed lung which was treated last month with radiation. I am planning to get buster shot early next month after pet ct results.

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
SDNeoplasm malignant · · ✓
SDPneumothorax · · ✓
SDRadiotherapy · · ✓
SDUnevaluable event ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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