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5AE-18195-69707

1 vaccination 8 coded responses 11 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
191 / PA
Registered
2021-02-04
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Tightness in my chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I feel like I've been running a marathon since the covid shot on 2/2
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Good · Site: Pain · Be unable to do your normal daily activities
    Free text: Still feeling of of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Still shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-09
    Survey response — day 7, dose 1
    MedDRA: Dyspnoea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: I'm in the hospital for shortness of breath which I have been reporting for a week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-09
    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)
  9. 2021-02-16
    Survey response — day 14, dose 1
    MedDRA: Dyspnoea — Feeling: Poor · Be unable to work
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-23
    Survey response — day 21, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Be unable to work
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-09
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-03-18
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-05-06
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-07-20
  15. 2021-08-03
    Survey response — 6 months, dose 1
    MedDRA: Asthma, Chest discomfort — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: I received the first shot, Feb 2, 2021 developed asthma,. Reported this to this site. Now I get tightness in my chest and have to use my pump to relieve that tightness
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-08-03
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  17. 2021-08-24

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Tightness in my chest

2021-02-05

Systemic reaction (other): I feel like I've been running a marathon since the covid shot on 2/2

2021-02-06

Systemic reaction (other): Still feeling of of breath

2021-02-08

Systemic reaction (other): Still shortness of breath

Release 3 — day 7, dose 1

2021-02-09

Systemic reaction (other): I'm in the hospital for shortness of breath which I have been reporting for a week.

Release 4 — day 14, dose 1

2021-02-16

Symptoms: Shortness of breath

Release 4 — day 21, dose 1

2021-02-23

Symptoms: Shortness of breath

Release 9 — 6 months, dose 1

2021-08-03

Symptoms: I received the first shot, Feb 2, 2021 developed asthma,. Reported this to this site. Now I get tightness in my chest and have to use my pump to relieve that tightness

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

FieldPreferred term2021-092023-042024-11
SDAsthma ✓ · ✓
SDChest discomfort ✓ · ✓
SDDyspnoea ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓

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