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
-
2021-02-25
Dose 1 — Moderna
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 2 — Moderna
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Muscle or body achesAdult check-in
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Shore upper left armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Slightly sore at vaccination areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
-
2021-06-27
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree 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 dMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-23
Survey response — 6 months, dose 2MedDRA: Neoplasm malignant, Pneumothorax, Radiotherapy — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2022-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Shore upper left arm
Systemic reaction (other): Slightly sore at vaccination area
Release 9 — 3 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Neoplasm malignant | · | · | ✓ |
| SD | Pneumothorax | · | · | ✓ |
| SD | Radiotherapy | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release