2RR-82686-17445

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 440 / OH
Registered: 2021-03-13

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Moderna
2021-03-13
Survey response — day 0, dose 1
MedDRA: Immunodeficiency, Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Have copd with asthma and mildly immocomprimised

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Neuropathy peripheral — Feeling: Good · Site: Pain · Muscle or body aches

Free text: 2 hrs after shot developed neuropathic symptoms on left shoulder, opposite of shot arm. This continues but not as constant and less noticable every day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal pain, Myalgia, Pain — Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Re: muscle body aches refers to the neuropathic shoulder blade pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Asthma, Condition aggravated, Cystitis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had andominal pain with cystitis and treated for uti prior to vaccine. I am on a second round of antibiotics and steroids for asthma symptoms and cops flare. My breathing is great but cystitis and abdomnial pain is back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Moderna
2021-04-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphagia, Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Shortness of breath, with lower sp02, trouble swallowing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Increased upper airway secretion, Respiratory tract congestion, Sinus congestion, Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Pnd and sinus congestion, thick mucus in throat, increase, increased hr and chest congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea paroxysmal nocturnal, Increased viscosity of upper respiratory secretion — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Free text: Pnd, thicker mucus.and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-01
Survey response — day 21, dose 2
MedDRA: Arrhythmia, Cough, Dyspnoea, Increased viscosity of upper respiratory secretion, Oral discomfort, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Short of breath, more wheezing deeper in airways, cough, burning in mouth and airways, thicker mucus and heart arrythmias.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 28, dose 2
MedDRA: Abdominal distension, Bladder pain, Chest pain, Diarrhoea, Dyspnoea, Flatulence, Medical counselling, Urinary retention, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Diarrhea,gas bloating uti bladder pain and urinary retention. Chest pain and breathless · Healthcare visit (other): Phone call, nurse told me to go to er but I didn't go

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-10
Survey response — 12 months, dose 2
MedDRA: Bone contusion, Cough, Headache, Hypoxia, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lymphadenopathy, rib contusion from coughing, headache and nocturnal hypoxia

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Moderna
2	2021-04-10	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-13

Systemic reaction (other): Have copd with asthma and mildly immocomprimised

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): 2 hrs after shot developed neuropathic symptoms on left shoulder, opposite of shot arm. This continues but not as constant and less noticable every day.

2021-03-19

Systemic reaction (other): Re: muscle body aches refers to the neuropathic shoulder blade pain

Release 6 — day 14, dose 1

2021-03-27

Symptoms: I had andominal pain with cystitis and treated for uti prior to vaccine. I am on a second round of antibiotics and steroids for asthma symptoms and cops flare. My breathing is great but cystitis and abdomnial pain is back.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Shortness of breath, with lower sp02, trouble swallowing.

2021-04-13

Systemic reaction (other): Pnd and sinus congestion, thick mucus in throat, increase, increased hr and chest congestion.

2021-04-14

Systemic reaction (other): Pnd, thicker mucus.and cough

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Short of breath, more wheezing deeper in airways, cough, burning in mouth and airways, thicker mucus and heart arrythmias.

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Diarrhea,gas bloating uti bladder pain and urinary retention. Chest pain and breathless

Healthcare visit (other): Phone call, nurse told me to go to er but I didn't go

Release 11 — 12 months, dose 2

2022-04-10

Symptoms: Lymphadenopathy, rib contusion from coughing, headache and nocturnal hypoxia

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	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Arrhythmia	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Bladder pain	✓	✓	✓
SD	Bone contusion	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Cystitis	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypoxia	·	·	✓
SD	Increased viscosity of upper respiratory secretion	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Oral discomfort	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Urinary retention	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Dyspnoea paroxysmal nocturnal	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Immunodeficiency	✓	✓	✓
SRO	Increased upper airway secretion	✓	✓	✓
SRO	Increased viscosity of upper respiratory secretion	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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