3WR-27981-39057

3 vaccinations 19 coded responses 33 check-ins 18 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 956 / CA
Registered: 2021-03-19

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

Timeline

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Wheezing — Feeling: Fair · Site: Pain, Itching · Muscle or body aches

Free text: Mild Wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Heart rate increased — Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Dyspnea , accelerated heat rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Wheezing — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to work

Free text: Wheeze

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills · Be unable to work

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Chills, Headache

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

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-17
Survey response — day 28, dose 1
MedDRA: Heavy menstrual bleeding, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Wheeze and heavy period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Moderna
2021-04-22
Survey response — day 0, dose 2
MedDRA: Wheezing — Feeling: Fair · Site: Pain

Free text: Very mild wheeze

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Wheezing — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Mild wheeze

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion, Wheezing — Feeling: Poor · Site: Swelling · Joint pains, Muscle or body aches · 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: Congestion and wheeze

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Chest congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-04-29
Survey response — day 7, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair · Headache

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 28, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: Delayed Period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 35, dose 2
MedDRA: Costochondritis, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Congestion and chest/ sternum inflammation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Eye pain, Injection site pain, Migraine, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shot site painPain from shoulder to wristMigraines and eye pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Survey response — 6 months, dose 2
MedDRA: Injection site pain, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shot site pain and neck and back stiffness.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Call 2 — Could Not Reach Participant
2021-11-01
Call 2 — Could Not Reach Participant
2021-11-04
Call 3 — Could Not Reach Participant
2022-01-05
Dose 3 — Moderna
2022-01-05
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-09
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work or attend school

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Poor · Fever · Chills · Be unable to do your normal daily activities

Free text: Chest congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Survey response — day 7, dose 3
MedDRA: Respiratory tract congestion — Feeling: Fair · Chills · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Chest congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-19
Survey response — day 14, dose 3
MedDRA: Respiratory tract congestion, Sleep apnoea syndrome, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Mild chest congestion and wheezing Some sleep apnea

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-20
Call 2 — Left Voicemail
2022-01-20
Call 2 — Left Voicemail
2022-01-26
Survey response — day 21, dose 3
MedDRA: Inflammation, Wheezing — Feeling: Fair · Be unable to work or attend school

Free text: Inflammation in chest and wheezing

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-05
Survey response — 12 months, dose 3
MedDRA: Chest pain, Costochondritis — Feeling: Good · 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

MedDRA releases: 2024-11
2023-01-05
Report sent to call center — 12 months, dose 3
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)
2023-01-06
Call 1 — Left Voicemail
2023-01-06
Call 1 — Left Voicemail
2023-01-06
Call 1 — Left Voicemail
2023-01-06
Call 1 — Left Voicemail
2023-01-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-22	Moderna
3	2022-01-05	Moderna	No

Call center

5 call center cases

5 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Mild Wheezing

2021-03-21

Systemic reaction (other): Dyspnea , accelerated heat rate

2021-03-22

Systemic reaction (other): Wheeze

Release 7 — day 28, dose 1

2021-04-17

Symptoms: Wheeze and heavy period

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): Very mild wheeze

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Mild wheeze

2021-04-25

Systemic reaction (other): Congestion and wheeze

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Chest congestion

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Congestion

Release 8 — day 28, dose 2

2021-05-22

Symptoms: Delayed Period.

Release 8 — day 35, dose 2

2021-05-27

Symptoms: Congestion and chest/ sternum inflammation.

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Shot site painPain from shoulder to wristMigraines and eye pain

Release 10 — 6 months, dose 2

2021-10-23

Symptoms: Shot site pain and neck and back stiffness.

Release 10 — days 1–6 daily, dose 3

2022-01-09

Systemic reaction (other): Chest pain

2022-01-10

Systemic reaction (other): Chest congestion

Release 10 — day 7, dose 3

2022-01-14

Systemic reaction (other): Chest congestion

Release 10 — day 14, dose 3

2022-01-19

Symptoms: Mild chest congestion and wheezing Some sleep apnea

Release 11 — day 21, dose 3

2022-01-26

Symptoms: Inflammation in chest and wheezing

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	Chest pain	·	·	✓
SD	Costochondritis	✓	✓	✓
SD	Eye pain	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Injection site pain	·	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Migraine	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sleep apnoea syndrome	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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