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
-
2021-05-02
Dose 1 — Moderna
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2021-05-04
Registered in v-safe
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2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree text: Shortness of breath. MilfMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-06
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Breath shortnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-30
Dose 2 — Moderna
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2021-06-13
Survey response — day 14, dose 2MedDRA: Gastrointestinal pain, Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Mostly GI pain, and nausea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-27
Survey response — day 28, dose 2MedDRA: Brain fog, Fatigue, Gastrointestinal pain, Headache, Painful respiration — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-07-05
Survey response — day 35, dose 2MedDRA: Brain fog, Chest pain, Dyspnoea, Fatigue, Gastrointestinal pain, Headache — Feeling: Fair · Be unable to work or attend schoolFree text: Continued chest pain, headaches, fatigue, brain fog, GI pain, and shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-11
- 2021-08-29
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2021-11-29
Survey response — 6 months, dose 2MedDRA: COVID-19, Hypertension — Feeling: Fair · Be unable to work or attend schoolFree 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
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2022-06-01
Survey response — 12 months, dose 2MedDRA: 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 professionalFree text: Symptoms: Increased shortness of breath, cognitive impairment, and fatigue. · Healthcare visit (other): Cardiology checkMedDRA releases: 2024-11 · check-in free text available
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2022-06-01
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-02 | Moderna | |
| 2 | 2021-05-30 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Shortness of breath. Milf
Systemic reaction (other): Breath shortness
Release 9 — day 14, dose 2
Symptoms: Mostly GI pain, and nausea.
Release 9 — day 28, dose 2
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
Symptoms: Continued chest pain, headaches, fatigue, brain fog, GI pain, and shortness of breath
Release 10 — 6 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cognitive disorder | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Painful respiration | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release