4KH-24015-17709

1 vaccination 7 coded responses 9 check-ins 7 free-text entries 7 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 088 / NJ
Registered: 2021-02-05

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

Timeline

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

2021-02-04
Dose 1 — Moderna
2021-02-05
Registered in v-safe
2021-02-13
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Dyspnoea, Pre-existing disease — Feeling: Poor · Site: Pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Worsening shortness of breath since vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — day 14, dose 1
MedDRA: Computerised tomogram, Dyspnoea, Heavy menstrual bleeding, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Shortness of breath continues. My period was very heavy - similar to the ones Ive had right after giving birth. · Healthcare visit (other): Pulmonologist and ct scan

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — day 21, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Still shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Survey response — day 28, dose 1
MedDRA: Dyspnoea, Office visit, Wheezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My breathing has become worse. Increased shortness of breath now accompanied with wheezing. · Healthcare visit (other): Have appts next week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — day 35, dose 1
MedDRA: Dyspnoea, Wheezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued shortness of breath with a new inspiration wheeze.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — day 42, dose 1
MedDRA: Dyspnoea, Eye pruritus, Wheezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Persistent shortness of breath and wheezing. Now itchy eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 42, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-07-30
Call 1 — Left Voicemail
2021-08-05
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-08-10
Call successful
Participant prefers to complete VAERS report online
2022-02-06
Survey response — 12 months, dose 1
MedDRA: Eye inflammation, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tinnitus and eye inflmmation

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna

Call center

7 call center cases

6 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-13

Systemic reaction (other): Worsening shortness of breath since vaccination

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Shortness of breath continues. My period was very heavy - similar to the ones Ive had right after giving birth.

Healthcare visit (other): Pulmonologist and ct scan

Release 4 — day 21, dose 1

2021-02-25

Symptoms: Still shortness of breath.

Release 5 — day 28, dose 1

2021-03-04

Symptoms: My breathing has become worse. Increased shortness of breath now accompanied with wheezing.

Healthcare visit (other): Have appts next week

Release 5 — day 35, dose 1

2021-03-11

Symptoms: Continued shortness of breath with a new inspiration wheeze.

Release 5 — day 42, dose 1

2021-03-18

Symptoms: Persistent shortness of breath and wheezing. Now itchy eyes

Release 11 — 12 months, dose 1

2022-02-06

Symptoms: Tinnitus and eye inflmmation

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	Computerised tomogram	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Eye inflammation	·	·	✓
SD	Eye pruritus	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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