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
-
2021-01-28
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Apathy — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Some lack of ambitionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I have IPF hope shot doesnt harm breathingreduduceeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Idiopathic pulmonary fibrosis — Feeling: GoodFree text: IPFMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-11
- 2021-02-18
- 2021-02-26
-
2021-02-27
Dose 2 — Moderna
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Poor · Chills, Headache · Be unable to do your normal daily activitiesFree text: Shortness of BreathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 7, dose 2MedDRA: 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, HospitalizationFree 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
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2021-03-09
Report sent to call center — day 7, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-13
Survey response — day 14, dose 2MedDRA: 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, HospitalizationFree 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
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2021-03-13
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-20
- 2021-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Some lack of ambition
Systemic reaction (other): I have IPF hope shot doesnt harm breathingreduducee
Systemic reaction (other): IPF
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Shortness of Breath
Release 5 — day 7, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory distress | ✓ | ✓ | ✓ |
| SRO | Apathy | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Idiopathic pulmonary fibrosis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release