2QN-23915-36431

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 783 / TX
Registered: 2021-01-29

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Moderna
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspnoea, Hospitalisation, Muscle tightness — Feeling: Poor · Headache, 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): Hospital tightness on the upper chest difficulty breathing hospital doing tests. · Healthcare visit (other): Jaw tightness, upper chest tightness and difficulty breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea, Hospitalisation — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Im still in (b)(6) hospital with chest pain and trouble breathing · Healthcare visit (other): Trouble breathing and chest pain getting different test done at (b)(6) hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Same as yesterday in hospital room trying to relax but now the nurse said their going to give me a swab covid 19 test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Hospitalisation, Muscle tightness, Painful respiration — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Dr. Could not figure why out why I got tightness on my jaw pain on my upper chest they ran heart test came out good been in hospital 4 days my Dr. gave me three different antibiotics and steroid injection for 2 days already. · Healthcare visit (other): Doing better, lungs still hurt when I taking deep breaths

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
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Somnolence — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Bad Stomach ache for 3 days no nausea and no diarrhea, just very sleepy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 35, dose 2
MedDRA: Fatigue, Pollakiuria — Feeling: Good

Free text: Urinating more often then usual. Feel tired a lot of times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 42, dose 2
MedDRA: Arthralgia, Dizziness, Neck pain — Feeling: Fair

Free text: Feeling a little dizziness, aches on ankles, knees, neck, and hands joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Call 1 — Left Voicemail
2022-03-05
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Moderna
2	2021-03-05	Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Hospital tightness on the upper chest difficulty breathing hospital doing tests.

Healthcare visit (other): Jaw tightness, upper chest tightness and difficulty breathing

2021-03-07

Systemic reaction (other): Im still in (b)(6) hospital with chest pain and trouble breathing

Healthcare visit (other): Trouble breathing and chest pain getting different test done at (b)(6) hospital

redacted (b)(6)

2021-03-08

Systemic reaction (other): Same as yesterday in hospital room trying to relax but now the nurse said their going to give me a swab covid 19 test

2021-03-09

Systemic reaction (other): Dr. Could not figure why out why I got tightness on my jaw pain on my upper chest they ran heart test came out good been in hospital 4 days my Dr. gave me three different antibiotics and steroid injection for 2 days already.

Healthcare visit (other): Doing better, lungs still hurt when I taking deep breaths

Release 6 — day 28, dose 2

2021-04-02

Symptoms: Bad Stomach ache for 3 days no nausea and no diarrhea, just very sleepy.

Release 7 — day 35, dose 2

2021-04-10

Symptoms: Urinating more often then usual. Feel tired a lot of times.

Release 7 — day 42, dose 2

2021-04-19

Symptoms: Feeling a little dizziness, aches on ankles, knees, neck, and hands joints

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	Chest discomfort	✓	✓	✓
HCVO	Chest pain	✓	✓	✓
HCVO	Dyspnoea	✓	✓	✓
HCVO	Hospitalisation	○	○	○
HCVO	Muscle tightness	✓	✓	✓
HCVO	Painful respiration	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pollakiuria	✓	✓	✓
SD	Somnolence	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Hospitalisation	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓

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