ZHS-21471-76106
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 349 / FL
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Moderna
-
2021-03-26
Registered in v-safe
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
- 2021-04-22
- 2021-04-23
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NauseaAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
-
2021-05-20
Survey response — day 28, dose 2MedDRA: Breast mass — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Lump on breast, wounds from a ratcoon,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-27
-
2021-06-03
Survey response — day 42, dose 2MedDRA: Breast mass, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Lump in left breast. So far mamagram and altrasound. Going to Radiogy Imaging Associates for tests ordered by my doctor. No other problems. · Healthcare visit (other): Phone conversation with primary doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-03
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-22
Survey response — 3 months, dose 2MedDRA: Contusion, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Getting bruising on by body. Going for blood test. · Healthcare visit (other): Primary dr and breast specialist.MedDRA releases: 2024-11 · check-in free text available
-
2021-07-22
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-24
- 2021-10-21
-
2022-04-22
Survey response — 12 months, dose 2MedDRA: Fatigue, Headache, Influenza, Malaise, Medical counselling, Nasal congestion, Nasopharyngitis, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Flu or summer cold symptoms. Low grade fever for 5 days, headache, tired, general did not feel well. congested, stuffy nose. Spoke with (b)(6) at my drs office. I cancelled the spine, neck and brain mri's. Resculed at (b)(6) Clinic for may appt.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-20 | Unsuccessful | |
| 2021-06-03 | Unsuccessful | |
| 2021-07-22 | Unsuccessful |
Free text
Release 8 — day 28, dose 2
Symptoms: Lump on breast, wounds from a ratcoon,
Release 8 — day 42, dose 2
Symptoms: Lump in left breast. So far mamagram and altrasound. Going to Radiogy Imaging Associates for tests ordered by my doctor. No other problems.
Healthcare visit (other): Phone conversation with primary doctor.
Release 9 — 3 months, dose 2
Symptoms: Getting bruising on by body. Going for blood test.
Healthcare visit (other): Primary dr and breast specialist.
Release 11 — 12 months, dose 2
Symptoms: Flu or summer cold symptoms. Low grade fever for 5 days, headache, tired, general did not feel well. congested, stuffy nose. Spoke with (b)(6) at my drs office. I cancelled the spine, neck and brain mri's. Resculed at (b)(6) Clinic for may appt.
redacted (b)(6)
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 | ✓ | ✓ | ✓ |
| SD | Breast mass | ✓ | ✓ | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release