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3HU-12776-16045

2 vaccinations 4 coded responses 24 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
950 / CA
Registered
2021-02-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Registered in v-safe
  2. 2021-02-13
    Dose 1 — Moderna
  3. 2021-02-13
    Health check-in — day 0, dose 1
    Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-02-20
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-02-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-13
    Dose 2 — Moderna
  13. 2021-03-13
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: When I inhale a little more deeply than normal, my lungs constrict
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nausea — Feeling: Good · Nausea
    Free text: Nausea only after exercising for the first time since vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-20
    Survey response — day 7, dose 2
    MedDRA: Ocular hyperaemia — Feeling: Fair · Headache, Nausea
    Free text: Bloodshot eyes. Woke up like that and later felt better but not great
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-25
    Survey response — day 42, dose 2
    MedDRA: Bronchospasm — Feeling: Good
    Free text: Tightness, constriction high in my lungs began soon after vaccine #2, but this is the first time I've reported it. It occurs when I am not engaged in aerobic activity and when I am. I have never experienced it before and am certain ti began after #2.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-14
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-09-11
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): When I inhale a little more deeply than normal, my lungs constrict

2021-03-16

Systemic reaction (other): Nausea only after exercising for the first time since vaccine

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): Bloodshot eyes. Woke up like that and later felt better but not great

Release 7 — day 42, dose 2

2021-04-25

Symptoms: Tightness, constriction high in my lungs began soon after vaccine #2, but this is the first time I've reported it. It occurs when I am not engaged in aerobic activity and when I am. I have never experienced it before and am certain ti began after #2. cut off by CDC

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
SDBronchospasm ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROOcular hyperaemia ✓ ✓ ✓

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