3Y8-89500-44250

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 840 / UT
Registered: 2021-03-09

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness

Free text: Since yesterday I have been lightheaded in the morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Cough, Exercise tolerance decreased, Pre-existing disease — Feeling: Good · Site: Redness · Be unable to do your normal daily activities

Free text: Since yesterday evening had to use my asthma inhaler at least twice because of coughing and harder to do exercise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Good

Free text: Still have shortness of breath, but nothing else.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Good

Free text: Shortness of breath slightly improved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Good

Free text: Slight shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 14, dose 1
MedDRA: Asthma, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Taking my asthma inhalers twice a day is not working very well · Healthcare visit (other): Normal allergy specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Moderna
2021-04-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Initial insomnia, Restless legs syndrome, Restlessness — Feeling: Good · Site: Redness, Swelling, Itching · Diarrhea · Be unable to do your normal daily activities

Free text: Like restless leg, but my whole body at night. So was very hard to go to sleep.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Several headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-12-30
Call 2 — Could Not Reach Participant
2022-01-05
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	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 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Since yesterday I have been lightheaded in the morning.

2021-03-13

Systemic reaction (other): Since yesterday evening had to use my asthma inhaler at least twice because of coughing and harder to do exercise.

2021-03-14

Systemic reaction (other): Still have shortness of breath, but nothing else.

2021-03-15

Systemic reaction (other): Shortness of breath slightly improved.

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Slight shortness of breath.

Release 6 — day 14, dose 1

2021-03-23

Symptoms: Taking my asthma inhalers twice a day is not working very well

Healthcare visit (other): Normal allergy specialist

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Like restless leg, but my whole body at night. So was very hard to go to sleep.

Release 8 — day 42, dose 2

2021-05-18

Symptoms: Several headaches.

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	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Exercise tolerance decreased	✓	✓	✓
SRO	Initial insomnia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Restless legs syndrome	✓	✓	✓
SRO	Restlessness	✓	✓	✓

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