2UK-18884-65575

4 vaccinations 22 coded responses 37 check-ins 21 free-text entries 11 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 928 / CA
Registered: 2020-12-31

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-30
Dose 1 — Moderna
2020-12-31
Registered in v-safe
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good

Free text: Vaccination site more itchy and redness has spread to my upper arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Cough, Dyspnoea, Medical counselling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, 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 · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Cough, asthma, occasional shortness of breath · Healthcare visit (other): Refill of asthma meds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
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)
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Dizziness, Dyspnoea, Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Brain fog, dizziness, asthma, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
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)
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Free text: Asthma, occasional shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Asthma, cough, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Cough, shortness of breath, asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — day 7, dose 2
MedDRA: Asthma, Cough — Feeling: Fair · Site: Redness · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Cough, asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Survey response — day 21, dose 2
MedDRA: Asthma, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Asthma. Shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 42, dose 2
MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Still have rashes on legs, trunk and fingers since the second covid shot on Jan 29, 2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — 3 months, dose 2
MedDRA: Herpes zoster — Feeling: Fair · Be unable to work, 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: Since Friday April 23, I developed shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — 3 months, 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)
2021-06-04
Call 1 — Left Voicemail
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Herpes zoster — Feeling: Fair · Be unable to work or attend school, 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: Shingles

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-03
Call X — Left Voicemail
2021-12-21
Dose 3 — Moderna
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Asthma, Brain fog, Chest pain, Chills, Cough, Malaise, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had my Moderna booster on 12/23/21. I had chills, fever 38.2 C, malaise, brain fog, sneezing runny nose and asthma. My cough was so dry my chest hurt. Today I still have occasional cough when the temp changes.

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Dose 4 — Moderna
2022-06-04
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Cough — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dry cough, asthma

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dyspnea, Asthma, Dry Cough

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Dyspnoea, Office visit, Pre-existing disease, Stomatitis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Asthma, dyspnea, mouth sores · Healthcare visit (other): Refill asthma prescriptions

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Report sent to call center — days 1–6 daily, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-07
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma — Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Asthma-asked for meds refills from doctor

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Call 2 — Left Voicemail
2022-06-07
Call 2 — Left Voicemail
2022-06-07
Call 2 — Left Voicemail
2022-06-07
Call 2 — Left Voicemail
2022-06-07
Call 3 — Left Voicemail
2022-06-07
Call 2 — Left Voicemail
2022-06-07
Call 2 — Left Voicemail
2022-06-08
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma — Feeling: Fair · Headache, Muscle or body aches, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Asthma

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Asthma

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Survey response — day 7, dose 4
MedDRA: Asthma — Feeling: Good · Muscle or body aches

Free text: Asthma

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-24
Survey response — day 21, dose 4
MedDRA: Asthma — Feeling: Fair · Be unable to work or attend school, 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: Asthma

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-27
Call 3 — Left Voicemail
2022-06-27
Call 3 — Left Voicemail
2022-06-27
Call 3 — Left Voicemail
2022-06-27
Call 3 — Left Voicemail
2022-06-27
Call X — Left Voicemail
2022-06-27
Call 3 — Left Voicemail
2022-06-27
Call 3 — Left Voicemail
2022-06-27
Call 2 — Left Voicemail
2022-07-01
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-15
Survey response — day 42, dose 4
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My asthma is on and off since the second booster

MedDRA releases: 2024-11 · check-in free text available
2022-09-04
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-12-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-03
Survey response — 12 months, dose 4
MedDRA: Asthma, Chills, Cough, Malaise, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-06-03
Call case (no matching report) — Unsuccessful
2023-06-05
Call 1 — Left Voicemail
2023-06-05
Call 1 — Left Voicemail
2023-06-05
Call 1 — Left Voicemail
2023-06-05
Call 1 — Left Voicemail
2023-06-05
Call 2 — Left Voicemail
2023-06-05
Call 1 — Left Voicemail
2023-06-05
Call 1 — Left Voicemail
2023-06-05
Call 1 — Left Voicemail
2023-06-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-25	Moderna
3	2021-12-21	Moderna	No
4	2022-06-03	Moderna	No

Call center

11 call center cases

9 unsuccessful · 2 priority 2/3 (triaged and no follow up)

4 waits over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Vaccination site more itchy and redness has spread to my upper arm

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Cough, asthma, occasional shortness of breath

Healthcare visit (other): Refill of asthma meds

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Brain fog, dizziness, asthma, shortness of breath

2021-01-29

Systemic reaction (other): Asthma, occasional shortness of breath

2021-01-30

Systemic reaction (other): Asthma, cough, shortness of breath

2021-01-31

Systemic reaction (other): Cough, shortness of breath, asthma

Release 3 — day 7, dose 2

2021-02-02

Systemic reaction (other): Cough, asthma

Release 4 — day 21, dose 2

2021-02-15

Symptoms: Asthma. Shortness of breath.

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Still have rashes on legs, trunk and fingers since the second covid shot on Jan 29, 2021

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: Since Friday April 23, I developed shingles

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Shingles

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: I had my Moderna booster on 12/23/21. I had chills, fever 38.2 C, malaise, brain fog, sneezing runny nose and asthma. My cough was so dry my chest hurt. Today I still have occasional cough when the temp changes.

Release 11 — days 1–6 daily, dose 4

2022-06-04

Systemic reaction (other): Dry cough, asthma

2022-06-05

Systemic reaction (other): Dyspnea, Asthma, Dry Cough

2022-06-06

Systemic reaction (other): Asthma, dyspnea, mouth sores

Healthcare visit (other): Refill asthma prescriptions

2022-06-07

Systemic reaction (other): Asthma-asked for meds refills from doctor

2022-06-08

Systemic reaction (other): Asthma

Release 12 — days 1–6 daily, dose 4

2022-06-09

Systemic reaction (other): Asthma

Release 12 — day 7, dose 4

2022-06-10

Systemic reaction (other): Asthma

Release 12 — day 21, dose 4

2022-06-24

Symptoms: Asthma

Release 12 — day 42, dose 4

2022-07-15

Symptoms: My asthma is on and off since the second booster

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	Office visit	·	·	✓
HCVO	Pre-existing disease	·	·	✓
SD	Asthma	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sneezing	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Stomatitis	·	·	✓

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