5HN-18550-14380
2 vaccinations
8 coded responses
10 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 958 / CA
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-04
Registered in v-safe
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2021-05-04
Dose 1 — Moderna
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2021-05-04
Survey response — day 0, dose 1MedDRA: Asthma, Dyspnoea — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Shortness of breath- Asthmatic on nebulizerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Delirium, Dyspnoea, Pre-existing disease, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: During the night I had an event that made me feel like a high fever and delirium and/or onset of bad asthma attack. Event like none other. Shortness of breath and panicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: First ever vaccine that I had side effects fromMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Still unnecessarily anxious and short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Survey response — days 1–6 daily, dose 1MedDRA: General symptom, Malaise — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I believe I may be a long hauler undiagnosed as I have been deathly ill with Covid symptoms all yearMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — days 1–6 daily, dose 1MedDRA: Diplopia, Dyspnoea, Headache — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Shortness of breath continual- eyesight still momentary double-vision and headaches pretty unbearableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — day 7, dose 1MedDRA: Dyspnoea — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Still have extreme shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-26
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2021-06-01
Dose 2 — Moderna
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2021-06-01
Survey response — day 0, dose 2MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: 12 hours after shot feel like hell!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Moderna | |
| 2 | 2021-06-01 | Moderna |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Shortness of breath- Asthmatic on nebulizer
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): During the night I had an event that made me feel like a high fever and delirium and/or onset of bad asthma attack. Event like none other. Shortness of breath and panic
Systemic reaction (other): First ever vaccine that I had side effects from
Systemic reaction (other): Still unnecessarily anxious and short of breath
Systemic reaction (other): I believe I may be a long hauler undiagnosed as I have been deathly ill with Covid symptoms all year
Systemic reaction (other): Shortness of breath continual- eyesight still momentary double-vision and headaches pretty unbearable
Release 8 — day 7, dose 1
Systemic reaction (other): Still have extreme shortness of breath
Release 8 — day 0, dose 2
Systemic reaction (other): 12 hours after shot feel like hell!
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Delirium | ✓ | ✓ | ✓ |
| SRO | Diplopia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | General symptom | ✓ | ✓ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release