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5FN-63649-01877

1 vaccination 6 coded responses 12 check-ins 6 free-text entries 4 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
436 / OH
Registered
2021-01-13
Relationship
Self

Timeline

  1. 2021-01-13
    Registered in v-safe
  2. 2021-01-13
    Dose 1 — Moderna
  3. 2021-01-13
    Survey response — day 0, dose 1
    MedDRA: Delirium — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: Feeling deliralious
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 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)
  7. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-01-16
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  9. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work
    Adult check-in
  10. 2021-01-17
  11. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea exertional, Fatigue — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Im have been really tired more than usual and oit of Breath when doomg task at home or work
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-18
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  13. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work
    Adult check-in
  14. 2021-01-21
    Survey response — day 7, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: I have been short of breath since i have gotten the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-27
    Survey response — day 14, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Be unable to work
    Free text: Short of breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-03
    Survey response — day 21, dose 1
    MedDRA: Dyspnoea, Laboratory test abnormal — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Im still having shortness of breath, all my lab work is abnormal, its qasnt before I got the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-11
    Survey response — day 28, dose 1
    MedDRA: Dyspnoea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Im short of breath since my first vaccime Dr dont want me to get second vaccine yet. Until thry see why im short of breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-17
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna

Call center

4 call center cases

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

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-13

Systemic reaction (other): Feeling deliralious

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Im have been really tired more than usual and oit of Breath when doomg task at home or work

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): I have been short of breath since i have gotten the vaccine

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Short of breath.

Release 3 — day 21, dose 1

2021-02-03

Symptoms: Im still having shortness of breath, all my lab work is abnormal, its qasnt before I got the vaccine

Release 4 — day 28, dose 1

2021-02-11

Symptoms: Im short of breath since my first vaccime Dr dont want me to get second vaccine yet. Until thry see why im short of breath.

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
SDDyspnoea ✓ ✓ ✓
SDLaboratory test abnormal ✓ ✓ ✓
SRODelirium ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SRODyspnoea exertional ✓ ✓ ✓
SROFatigue ✓ ✓ ✓

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