3H9-53217-42774

1 vaccination 9 coded responses 15 check-ins 9 free-text entries 9 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 064 / CT
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Moderna
2021-01-13
Survey response — day 0, dose 1
MedDRA: Office visit, Throat tightness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Felt tightness in throat, given Zyrtec · Healthcare visit (other): Physician on site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Office visit, Sensation of foreign body — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Heaviness in chest, feel like construction of throat · Healthcare visit (other): Allergist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Flushing, Oropharyngeal pain — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Flushing, heaviness in chest, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort, Flushing — Feeling: Fair · Fatigue or tiredness

Free text: Flushing in face; heaviness when breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-01-23
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Nausea — 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

Free text: Nausea, abdominal pain,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — day 21, dose 1
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)
2021-02-10
Survey response — day 28, dose 1
MedDRA: Flushing, Swollen tongue, Throat tightness — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Daily flushing and feeling of throat closing and tongue swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-17
Survey response — day 35, dose 1
MedDRA: Blood pressure increased, Specialist consultation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Sudden elevation of blood pressure, which I never had before · Healthcare visit (other): PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-24
Health check-in — day 42, dose 1
Feeling: Poor

Adult check-in
2021-03-08
Call 1 — Left Voicemail
2021-04-14
Survey response — 3 months, dose 1
MedDRA: Flushing, Self-medication, Throat tightness — Feeling: Good

Free text: Suddenly flushed in the face and felt like throat was closing and had to take an antihistamine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Call 1 — Could Not Reach Participant
2021-06-29
Call 2 — Left Voicemail
2021-07-14
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-01-13
Survey response — 12 months, dose 1
MedDRA: Blood pressure increased, Flushing, Reaction to previous exposure to any vaccine, Self-medication, Swollen tongue, Throat tightness — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: After the flu shot, same symptoms I had with moderna, and had to go back on double doses of Zyrtec. Have the feeling of throat closing and tongue swelling with intense flushing in the face. Spiked blood pressure at times.

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-01-18
Call 1 — Could Not Reach Participant
2022-01-21
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Moderna

Call center

9 call center cases

9 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-13

Systemic reaction (other): Felt tightness in throat, given Zyrtec

Healthcare visit (other): Physician on site

Release 1 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Heaviness in chest, feel like construction of throat

Healthcare visit (other): Allergist

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Flushing, heaviness in chest, sore throat

2021-01-19

Systemic reaction (other): Flushing in face; heaviness when breathing

Release 3 — day 21, dose 1

2021-02-03

Symptoms: Nausea, abdominal pain,

Release 3 — day 28, dose 1

2021-02-10

Symptoms: Daily flushing and feeling of throat closing and tongue swelling

Release 4 — day 35, dose 1

2021-02-17

Symptoms: Sudden elevation of blood pressure, which I never had before

Healthcare visit (other): PCP

Release 7 — 3 months, dose 1

2021-04-14

Symptoms: Suddenly flushed in the face and felt like throat was closing and had to take an antihistamine

Release 10 — 12 months, dose 1

2022-01-13

Symptoms: After the flu shot, same symptoms I had with moderna, and had to go back on double doses of Zyrtec. Have the feeling of throat closing and tongue swelling with intense flushing in the face. Spiked blood pressure at times.

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	Office visit	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Flushing	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Swollen tongue	✓	✓	✓
SD	Throat tightness	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Sensation of foreign body	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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