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5WE-20618-27987

2 vaccinations 7 coded responses 11 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
933 / CA
Registered
2021-05-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-02
    Dose 1 — Moderna
  2. 2021-05-04
    Registered in v-safe
  3. 2021-05-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Shortness of breath. Milf
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-05-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Breath shortness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-05-30
    Dose 2 — Moderna
  8. 2021-06-13
    Survey response — day 14, dose 2
    MedDRA: Gastrointestinal pain, Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Mostly GI pain, and nausea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-27
    Survey response — day 28, dose 2
    MedDRA: Brain fog, Fatigue, Gastrointestinal pain, Headache, Painful respiration — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Many lasting symptoms including gi pain, headaches, brain fog, fatigue, and my lungs hurt when i breathe deeply.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-07-05
    Survey response — day 35, dose 2
    MedDRA: Brain fog, Chest pain, Dyspnoea, Fatigue, Gastrointestinal pain, Headache — Feeling: Fair · Be unable to work or attend school
    Free text: Continued chest pain, headaches, fatigue, brain fog, GI pain, and shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-11
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-08-29
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-11-29
    Survey response — 6 months, dose 2
    MedDRA: COVID-19, Hypertension — Feeling: Fair · Be unable to work or attend school
    Free text: High blood pressure. It used to always be low to very low, but since I had Covid 1/21 it's been high.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-06-01
    Survey response — 12 months, dose 2
    MedDRA: Cognitive disorder, Dyspnoea, Fatigue, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Increased shortness of breath, cognitive impairment, and fatigue. · Healthcare visit (other): Cardiology check
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-06-01
    Report sent to call center — 12 months, dose 2
    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)
  16. 2022-06-02

Vaccinations

DoseDateManufacturerCo-administered
12021-05-02Moderna
22021-05-30Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-04

Systemic reaction (other): Shortness of breath. Milf

2021-05-06

Systemic reaction (other): Breath shortness

Release 9 — day 14, dose 2

2021-06-13

Symptoms: Mostly GI pain, and nausea.

Release 9 — day 28, dose 2

2021-06-27

Symptoms: Many lasting symptoms including gi pain, headaches, brain fog, fatigue, and my lungs hurt when i breathe deeply.

Release 9 — day 35, dose 2

2021-07-05

Symptoms: Continued chest pain, headaches, fatigue, brain fog, GI pain, and shortness of breath

Release 10 — 6 months, dose 2

2021-11-29

Symptoms: High blood pressure. It used to always be low to very low, but since I had Covid 1/21 it's been high.

Release 11 — 12 months, dose 2

2022-06-01

Symptoms: Increased shortness of breath, cognitive impairment, and fatigue.
Healthcare visit (other): Cardiology check

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
HCVOUnevaluable event · · ✓
SDBrain fog ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDCognitive disorder · · ✓
SDCOVID-19 · · ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGastrointestinal pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypertension · · ✓
SDNausea ✓ ✓ ✓
SDPainful respiration ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓

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