4NN-65234-21809

3 vaccinations 13 coded responses 35 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 483 / MI
Registered: 2021-03-10

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

2021-03-08
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling · Chills · Be unable to do your normal daily activities

Free text: Shortness of Breath at rest and walking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · 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: Systemic reaction (other): Difficulty Breathing · Healthcare visit (other): Nebulizer prescribed

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

1 call case(s)
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Shortness of breath at rest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Shortness of Breath... · Healthcare visit (other): Using nebulizer that was prescribed physician

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Shortness of Breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities

Free text: Mild shortness of breath using nebulizer.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-05
Dose 2 — Moderna
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Self-medication — Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Fatigue or tiredness

Free text: Shortness of Breath- using nebulizer treatments and inhalers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of Breath, using nebulizer and MDIs to manage breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Redness, Swelling

Free text: Shortness of breath is more mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea, Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of Breath. Coughing. Hands very swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness · Be unable to work

Free text: Shortness of Breath with coughing. Use Nebulizer along with meisdi as

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Free text: Mild shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-11-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Survey response — day 35, dose 3
MedDRA: Epistaxis, Headache — Feeling: Fair

Free text: Headache and nose bleeds

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-09
Call 1 — Left Voicemail
2022-01-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-11-03
Health check-in — 12 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Moderna
2	2021-04-05	Moderna
3	2021-10-28	Moderna	No

Call center

3 call center cases

3 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

2021-03-10

Systemic reaction (other): Shortness of Breath at rest and walking

2021-03-11

Systemic reaction (other): Difficulty Breathing

Healthcare visit (other): Nebulizer prescribed

2021-03-12

Systemic reaction (other): Shortness of breath at rest

2021-03-13

Systemic reaction (other): Shortness of Breath...

Healthcare visit (other): Using nebulizer that was prescribed physician

2021-03-14

Systemic reaction (other): Shortness of Breath

Release 5 — day 7, dose 1

2021-03-15

Systemic reaction (other): Mild shortness of breath using nebulizer.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Shortness of Breath- using nebulizer treatments and inhalers.

2021-04-07

Systemic reaction (other): Shortness of Breath, using nebulizer and MDIs to manage breathing.

2021-04-08

Systemic reaction (other): Shortness of breath is more mild

2021-04-09

Systemic reaction (other): Shortness of Breath. Coughing. Hands very swollen.

2021-04-10

Systemic reaction (other): Shortness of Breath with coughing. Use Nebulizer along with meisdi as

2021-04-11

Systemic reaction (other): Mild shortness of breath

Release 10 — day 35, dose 3

2021-12-02

Symptoms: Headache and nose bleeds

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	Medical counselling	○	○	○
HCVO	Unevaluable event	✓	✓	✓
SD	Epistaxis	·	·	✓
SD	Headache	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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