2P6-22334-12775
4 vaccinations
4 coded responses
26 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 486 / MI
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
-
2021-03-17
Health check-in — day 0, dose 1Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Shortness of breath · Healthcare visit (other): Called but couldnt reach doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Dyspnoea, Medical counselling, Oxygen saturation decreased — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Extereme shortness of breathe, lightheadedness, blood oxygen levels as low as 74% for brief time after very minimal exertion. These effects were present for several hours.. After a few hours sleep, they were gone and by this morning, only the normal shortness of breathe since having Covid were present. · Healthcare visit (other): Spoke with nurse at doctors office.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-23
-
2021-03-26
Health check-in — day 7, dose 1Feeling: Good · Joint pains · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-31
- 2021-04-08
-
2021-04-14
Dose 2 — Moderna
-
2021-04-21
Survey response — day 7, dose 2MedDRA: Arthralgia, Arthritis, Pre-existing disease — Feeling: Good · Site: Pain · Joint painsFree text: Joint pains are arthritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
-
2021-10-15
Survey response — 6 months, dose 2MedDRA: Fistula, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Created a fistula in my arm for long term dialysis.MedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-18
-
2021-10-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-10-30
Dose 3 — Moderna
-
2022-04-10
Dose 4 — Moderna
- 2022-04-14
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-05-23
- 2022-07-11
- 2022-10-10
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-10 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Shortness of breath
Healthcare visit (other): Called but couldnt reach doctor.
Systemic reaction (other): Extereme shortness of breathe, lightheadedness, blood oxygen levels as low as 74% for brief time after very minimal exertion. These effects were present for several hours.. After a few hours sleep, they were gone and by this morning, only the normal shortness of breathe since having Covid were present.
Healthcare visit (other): Spoke with nurse at doctors office.
Release 7 — day 7, dose 2
Systemic reaction (other): Joint pains are arthritis.
Release 10 — 6 months, dose 2
Symptoms: Created a fistula in my arm for long term dialysis.
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Fistula | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release