3F8-28071-51351

2 vaccinations 5 coded responses 23 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 953 / CA
Registered: 2021-03-27

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

2021-03-24
Dose 1 — Moderna
2021-03-27
Registered in v-safe
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness and lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-21
Dose 2 — Moderna
2021-04-21
Survey response — day 0, dose 2
MedDRA: Chest pain, Dyspnoea, Emergency care, Hypertension, Medical observation — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Bp 151/100 pulse 110 disoriented, chest tightness and hard to breathe. · Healthcare visit (other): After my vaccine was administered 15mins into it the nurse called a rapid response code as i was unresponsive, then called 911 and was evaluated by ems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 0, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-05
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Myalgia, Oropharyngeal pain, Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Vomiting, muscle and joint pain, soar throat server fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Dyspnoea exertional — Feeling: Fair · Be unable to do your normal daily activities

Free text: Breathing issues. Its been progressively getting harder to breath even with just little activity.

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Call 1 — Left Voicemail
2022-04-21
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Fatigue, Respiratory disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Breathing issues hard to breath all the time. Just walking and I have to stop and catch my breath. I also stay very fatigued.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Moderna
2	2021-04-21	Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Dizziness and lightheadedness

Release 7 — day 0, dose 2

2021-04-21

Systemic reaction (other): Bp 151/100 pulse 110 disoriented, chest tightness and hard to breathe.

Healthcare visit (other): After my vaccine was administered 15mins into it the nurse called a rapid response code as i was unresponsive, then called 911 and was evaluated by ems.

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Vomiting, muscle and joint pain, soar throat server fatigue

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Breathing issues. Its been progressively getting harder to breath even with just little activity.

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: Breathing issues hard to breath all the time. Just walking and I have to stop and catch my breath. I also stay very fatigued.

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	Emergency care	✓	✓	✓
HCVO	Medical observation	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Dyspnoea exertional	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hypertension	✓	✓	✓

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