5DK-84735-17246
1 vaccination
5 coded responses
7 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 945 / CA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-20
Dose 1 — Moderna
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2021-03-13
Registered in v-safe
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2021-03-13
Survey response — day 21, dose 1MedDRA: Dyspnoea, Immunisation reaction — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 2/27 got Moderna arm and4-5 days later bad shortness of breath. Didnt connect shortness of breath with vac til 3/12...Went to dr 3/9 and she had me get lung X-ray, clean and get ekg 14 day monitor. Dont have yet. Could this be Moderna related?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — day 28, dose 1MedDRA: Dyspnoea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Shortness of breath!! Getting pulmonary test and EKG monitor. Is this common after first shot? Getting covid test 3/23MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-27
Survey response — day 35, dose 1MedDRA: Dyspnoea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Have not gotten 2nd vac....I believe the first shot is responsible for extreme shortness of breath....Is it possible....or do you even read these comments?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 42, dose 1MedDRA: Dizziness, Dyspnoea, Fear of falling, Palpitations — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Shortness of breath light headed heart bpm jumps to 110 if do any strenuous like empty cat litter box and take outside to garbage. Heart races light headed swear fear of falling so I restMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Survey response — 3 months, dose 1MedDRA: Dyspnoea exertional, Heart rate increased, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Shortness of breath with minimal exertion and heart rate jumps 110+. Stress test with nuclear and ekg meg....pulmonary test neg....not gotten 2nd Vaccine shot til know cause....BTW does anyone actually read this?????? · Healthcare visit (other): Kaiser DoctorsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-22
- 2022-02-20
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 21, dose 1
Symptoms: 2/27 got Moderna arm and4-5 days later bad shortness of breath. Didnt connect shortness of breath with vac til 3/12...Went to dr 3/9 and she had me get lung X-ray, clean and get ekg 14 day monitor. Dont have yet. Could this be Moderna related?
Release 6 — day 28, dose 1
Symptoms: Shortness of breath!! Getting pulmonary test and EKG monitor. Is this common after first shot? Getting covid test 3/23
Release 6 — day 35, dose 1
Symptoms: Have not gotten 2nd vac....I believe the first shot is responsible for extreme shortness of breath....Is it possible....or do you even read these comments?
Release 6 — day 42, dose 1
Symptoms: Shortness of breath light headed heart bpm jumps to 110 if do any strenuous like empty cat litter box and take outside to garbage. Heart races light headed swear fear of falling so I rest
Release 8 — 3 months, dose 1
Symptoms: Shortness of breath with minimal exertion and heart rate jumps 110+. Stress test with nuclear and ekg meg....pulmonary test neg....not gotten 2nd Vaccine shot til know cause....BTW does anyone actually read this??????
Healthcare visit (other): Kaiser Doctors
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea exertional | ✓ | ✓ | ✓ |
| SD | Fear of falling | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release