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2S6-16452-42334

2 vaccinations 6 coded responses 13 check-ins 6 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
925 / CA
Registered
2021-01-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-01-30
    Registered in v-safe
  3. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Apathy — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Some lack of ambition
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I have IPF hope shot doesnt harm breathingreduducee
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Idiopathic pulmonary fibrosis — Feeling: Good
    Free text: IPF
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-07
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-26
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-27
    Dose 2 — Moderna
  13. 2021-03-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Poor · Chills, Headache · Be unable to do your normal daily activities
    Free text: Shortness of Breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-09
    Survey response — day 7, dose 2
    MedDRA: Chills, Condition aggravated, Dyspnoea, Emergency care, Pre-existing disease, Tremor — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to work, 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: I have IPF. The 2nd shot put me in hospital. Severe chills shaking 3 days, unable to maintain O2 with IPF, ambulance to hospital. Many respiratory treatments, antibiotics, host of medications. VERY BAD . Breathing restored (with my IPF) to pre hospital levels. Returned home. Slowly recovering at home. Wasnt sure I would make it. More info available from me, hospital.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-09
    Report sent to call center — day 7, 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)
  16. 2021-03-13
    Survey response — day 14, dose 2
    MedDRA: Condition aggravated, Emergency care, Malaise, Pre-existing disease, Respiratory distress — Feeling: Fair · Be unable to work, 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: Ambulance to hospital. Severe reaction with #2moderna shot. Took a week of resp therapy to arrest my decline. I have IPF underlying. Home now but not good. Can anyone call for more info.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-13
    Report sent to call center — day 14, 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)
  18. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-12-16

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-27Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Some lack of ambition

2021-02-02

Systemic reaction (other): I have IPF hope shot doesnt harm breathingreduducee

2021-02-03

Systemic reaction (other): IPF

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Shortness of Breath

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): I have IPF. The 2nd shot put me in hospital. Severe chills shaking 3 days, unable to maintain O2 with IPF, ambulance to hospital. Many respiratory treatments, antibiotics, host of medications. VERY BAD . Breathing restored (with my IPF) to pre hospital levels. Returned home. Slowly recovering at home. Wasnt sure I would make it. More info available from me, hospital.

Release 5 — day 14, dose 2

2021-03-13

Symptoms: Ambulance to hospital. Severe reaction with #2moderna shot. Took a week of resp therapy to arrest my decline. I have IPF underlying. Home now but not good. Can anyone call for more info.

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
SDCondition aggravated ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRespiratory distress ✓ ✓ ✓
SROApathy ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROIdiopathic pulmonary fibrosis ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTremor ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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