2CD-22973-17145

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 038 / NH
Registered: 2021-02-05

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-04
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-11
Survey response — day 7, dose 1
MedDRA: Dyspnoea, Pulmonary congestion — Feeling: Poor · Fatigue or tiredness

Free text: Shortness breath, fluid on lungs, enroute to (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Fatigue, Hospitalisation — Feeling: Poor · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Shortness breath, fatigue · Healthcare visit (other): Currently inpatient at (b)(6) Hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — day 21, dose 1
MedDRA: Pulmonary hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Pulmonary hypertension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Dose 2 — Moderna
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Wheezing — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Cough, wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling — Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: And visiting nurse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Unevaluable event — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Shortness Of breathe, difficulty of breathing · Healthcare visit (other): (b)(6) General

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 7, dose 2
MedDRA: Cardiac failure congestive, Pulmonary hypertension, Pulmonary oedema — Feeling: Poor · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Acute congestive heart failure, pulmonary edema, pulmonary hypertension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Survey response — day 14, dose 2
MedDRA: Cardiac failure, Pre-existing disease, Pulmonary hypertension, Pulmonary oedema — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Worsening heart failure, pulmonary hypertension, pulmonary edema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-08-09
Call 1 — Left Voicemail
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Death — Feeling: Poor

Free text: My Mom passed away (b)(6)/2021Not related to Covid

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-05	Moderna

Call center

6 call center cases

6 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): Shortness breath, fluid on lungs, enroute to (b)(6)

redacted (b)(6)

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Shortness breath, fatigue

Healthcare visit (other): Currently inpatient at (b)(6) Hospital

redacted (b)(6)

Release 4 — day 21, dose 1

2021-02-25

Symptoms: Pulmonary hypertension

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Cough, wheezing

2021-03-09

Healthcare visit (other): And visiting nurse

2021-03-10

Systemic reaction (other): Shortness Of breathe, difficulty of breathing

Healthcare visit (other): (b)(6) General

redacted (b)(6)

Release 5 — day 7, dose 2

2021-03-12

Systemic reaction (other): Acute congestive heart failure, pulmonary edema, pulmonary hypertension

Release 6 — day 14, dose 2

2021-03-19

Symptoms: Worsening heart failure, pulmonary hypertension, pulmonary edema

Release 9 — 6 months, dose 2

Reports this person's death

2021-09-03

Symptoms: My Mom passed away (b)(6)/2021Not related to Covid

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	Hospitalisation	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Cardiac failure	✓	✓	✓
SD	Death	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pulmonary hypertension	✓	✓	✓
SD	Pulmonary oedema	✓	✓	✓
SRO	Cardiac failure congestive	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Pulmonary congestion	✓	✓	✓
SRO	Pulmonary hypertension	✓	✓	✓
SRO	Pulmonary oedema	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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