4RW-28900-92131

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 838 / ID
Registered: 2021-01-15

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

2021-01-14
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feverish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Influenza like illness — Feeling: Fair · Fever · Fatigue or tiredness

Free text: I slept 10 1/2 hrs last night ( 2 1/2 "hrs longer than normal), woke up exhausted and feeling flu-ish. I had to push myself to do normal activities.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Chronic obstructive pulmonary disease, Decreased appetite, Pre-existing disease, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have severe copd and am on oxygen 24/7. Take various meds to manage symptoms, but have noticed increased difficulty breathing, increased sinus drainage and decreased appetite. Might be common cold. Will contact GP if no improvement by Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Increased difficulty breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have more difficulty breathing than "normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness

Free text: Still having a little trouble breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Fair

Free text: My breathing problems continue to get worse. I believe this is due to chronic copd disease. I do not believe that the covid vaccine has had an impact on these problems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I'm having a copd flare up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-09	Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Feverish

2021-01-19

Systemic reaction (other): I slept 10 1/2 hrs last night ( 2 1/2 "hrs longer than normal), woke up exhausted and feeling flu-ish. I had to push myself to do normal activities.

Release 3 — day 14, dose 1

2021-01-29

Symptoms: I have severe copd and am on oxygen 24/7. Take various meds to manage symptoms, but have noticed increased difficulty breathing, increased sinus drainage and decreased appetite. Might be common cold. Will contact GP if no improvement by Monday.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Increased difficulty breathing

2021-02-13

Systemic reaction (other): Still have more difficulty breathing than "normal

2021-02-14

Systemic reaction (other): Still having a little trouble breathing.

Release 4 — day 21, dose 2

2021-03-02

Symptoms: My breathing problems continue to get worse. I believe this is due to chronic copd disease. I do not believe that the covid vaccine has had an impact on these problems.

Release 6 — day 42, dose 2

2021-03-23

Symptoms: I'm having a copd flare up.

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	Chronic obstructive pulmonary disease	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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