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2FT-37319-67410

2 vaccinations 12 coded responses 27 check-ins 12 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
783 / TX
Registered
2021-06-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-15
    Registered in v-safe
  2. 2021-06-15
    Dose 1 — Moderna
  3. 2021-06-15
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  4. 2021-06-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-06-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-06-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Free text: Metallic taste in mouth. Have had since the day after the vaccine just forgot to report it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Metallic taste in mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-06-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-06-22
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  11. 2021-06-29
    Survey response — day 14, dose 1
    MedDRA: Dyspnoea, Fatigue, Oxygen saturation decreased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: A couple of days of worsened fatigue. Experiencing increased shortness of breath, dropping SpO2 levels. Fairly rapid onset of the two previously mentioned symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-06
    Survey response — day 21, dose 1
    MedDRA: Dyspnoea, Fatigue — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Worsening shortness of breath. Continued and worsening fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-13
    Survey response — day 28, dose 1
    MedDRA: Dyspnoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Breathing worse.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-20
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-07-27
    Dose 2 — Moderna
  16. 2021-07-27
    Health check-in — day 0, dose 2
    Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  17. 2021-07-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-07-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea, Muscle spasms — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Shortness of breath. Muscle spasms
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-07-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-07-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  21. 2021-08-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-08-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2021-08-03
    Survey response — day 7, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2021-08-10
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-08-17
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-08-24
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-08-31
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-09-07
    Survey response — day 42, dose 2
    MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Shortness of breath. Chest pains.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-09-07
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-09-10
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  31. 2021-10-26
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  32. 2022-07-27
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-15Moderna
22021-07-27Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-18

Systemic reaction (other): Metallic taste in mouth. Have had since the day after the vaccine just forgot to report it

2021-06-19

Systemic reaction (other): Metallic taste in mouth

Release 9 — day 14, dose 1

2021-06-29

Symptoms: A couple of days of worsened fatigue. Experiencing increased shortness of breath, dropping SpO2 levels. Fairly rapid onset of the two previously mentioned symptoms.

Release 9 — day 21, dose 1

2021-07-06

Symptoms: Worsening shortness of breath. Continued and worsening fatigue.

Release 9 — day 28, dose 1

2021-07-13

Symptoms: Breathing worse.

Release 9 — days 1–6 daily, dose 2

2021-07-28

Systemic reaction (other): Shortness of breath

2021-07-29

Systemic reaction (other): Shortness of breath. Muscle spasms

2021-07-30

Systemic reaction (other): Shortness of breath

2021-08-01

Systemic reaction (other): Shortness of breath

2021-08-02

Systemic reaction (other): Shortness of breath

Release 9 — day 7, dose 2

2021-08-03

Systemic reaction (other): Shortness of breath

Release 9 — day 42, dose 2

2021-09-07

Symptoms: Shortness of breath. Chest pains.

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
SDChest pain · · ✓
SDCondition aggravated ○ ○ ○
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDOxygen saturation decreased ✓ ✓ ✓
SDPre-existing disease ○ ○ ○
SRODysgeusia ✓ ✓ ✓
SRODyspnoea ✓ · ✓
SROMuscle spasms ✓ · ✓

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

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