67L-11804-66554

1 vaccination 6 coded responses 15 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 497 / MI
Registered: 2021-08-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-08-06
Registered in v-safe
2021-08-06
Dose 1 — Moderna
2021-08-06
Health check-in — day 0, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-08-07
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-08-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-08-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-08-20
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Headache, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat shortness of breath severe headaches low grade fever

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Headache, Office visit, Pyrexia, Sputum discoloured, Total lung capacity decreased — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Extreme shortness of breath fevers headaches green phlegm twice to doctor since injection Im on second round of antibiotics steroids and new inhalers. I now will be seeing A pulmonologist due to the decrease in lung capacity

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Call 1 — Left Voicemail
2021-09-03
Survey response — day 28, dose 1
MedDRA: Malaise — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Since injection. I hv had to be put on two different antibiotics two rounds of steroids a steroid inhaler. Hours after having injection I became violently ill. I am referred over to a Pulmonologist I will not be getting a second injection for now

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
Report sent to call center — day 28, dose 1
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)
2021-09-09
Call 1 — Left Voicemail
2021-09-10
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-09-17
Survey response — day 42, dose 1
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I was referred to a pulmonologist since Ive been so sick since I had Covid pneumonia my breathing worse after the Moderno shot my pulmonologist told me not to have the second one for 14 more days that I need to do my new inhaler 2 more weeks · Healthcare visit (other): Pulmonologist

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — day 42, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call 1 — Could Not Reach Participant
2021-09-24
Call 2 — Could Not Reach Participant
2021-11-05
Survey response — 3 months, dose 1
MedDRA: COVID-19, Lung disorder, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Lung damage from Covid · Healthcare visit (other): Pulmonologist

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-08
Call 1 — Left Voicemail
2022-02-04
Survey response — 6 months, dose 1
MedDRA: COVID-19 pneumonia, Dyspnoea, Lung disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have permanent lung damage from the Covid pneumonia I will be on inhalers and medication the rest of my life they said so each day is different I have some days I can hardly breathe and other days are a little bit better · Healthcare visit (other): Pulmonologist

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-06	Moderna	No

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 9 — day 14, dose 1

2021-08-20

Symptoms: Sore throat shortness of breath severe headaches low grade fever

Release 9 — day 21, dose 1

2021-08-27

Symptoms: Extreme shortness of breath fevers headaches green phlegm twice to doctor since injection Im on second round of antibiotics steroids and new inhalers. I now will be seeing A pulmonologist due to the decrease in lung capacity

Release 9 — day 28, dose 1

2021-09-03

Symptoms: Since injection. I hv had to be put on two different antibiotics two rounds of steroids a steroid inhaler. Hours after having injection I became violently ill. I am referred over to a Pulmonologist I will not be getting a second injection for now cut off by CDC

Release 9 — day 42, dose 1

2021-09-17

Symptoms: I was referred to a pulmonologist since Ive been so sick since I had Covid pneumonia my breathing worse after the Moderno shot my pulmonologist told me not to have the second one for 14 more days that I need to do my new inhaler 2 more weeks

Healthcare visit (other): Pulmonologist

Release 10 — 3 months, dose 1

2021-11-05

Symptoms: Lung damage from Covid

Healthcare visit (other): Pulmonologist

Release 11 — 6 months, dose 1

2022-02-04

Symptoms: I have permanent lung damage from the Covid pneumonia I will be on inhalers and medication the rest of my life they said so each day is different I have some days I can hardly breathe and other days are a little bit better

Healthcare visit (other): Pulmonologist

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	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	COVID-19 pneumonia	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Headache	✓	·	✓
SD	Lung disorder	·	·	✓
SD	Malaise	✓	·	✓
SD	Office visit	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Sputum discoloured	✓	·	✓
SD	Total lung capacity decreased	✓	·	✓

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