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6CV-26100-14504

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
701 / LA
Registered
2021-02-27
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-27
    Registered in v-safe
  2. 2021-02-27
    Dose 1 — Moderna
  3. 2021-02-27
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-27
    Dose 2 — Moderna
  14. 2021-03-27
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Nothing as of yet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Really feel short winded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  17. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Good
    Free text: For some reason I had a sore throat this morning and the gland on the right side of my neck was swollen nothing painful just noticeable maybe Allergies.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea exertional — Feeling: Good · Be unable to do your normal daily activities
    Free text: Breathing Issue when walking short distances never experthis before. Have to sit in a chair when cooking due to shortness of breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea exertional — Feeling: Good · Fatigue or tiredness
    Free text: Continuing to have shortness of breath. It happens when I walk short distances. Maybe its a mild reaction to my vaccines.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-24
    Survey response — day 28, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: For some reason I have been experiencing shortness of breath when standing for 30 minutes or longer periods of time. I will contact me Primary Doctor so we can get to the bottom of this issue. I did not have this issue before I got my vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna
22021-03-27Moderna

Free text

Release 6 — day 0, dose 2

2021-03-27

Systemic reaction (other): Nothing as of yet.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Really feel short winded

2021-03-30

Systemic reaction (other): For some reason I had a sore throat this morning and the gland on the right side of my neck was swollen nothing painful just noticeable maybe Allergies.

2021-04-01

Systemic reaction (other): Breathing Issue when walking short distances never experthis before. Have to sit in a chair when cooking due to shortness of breath.

2021-04-02

Systemic reaction (other): Continuing to have shortness of breath. It happens when I walk short distances. Maybe its a mild reaction to my vaccines.

Release 7 — day 28, dose 2

2021-04-24

Symptoms: For some reason I have been experiencing shortness of breath when standing for 30 minutes or longer periods of time. I will contact me Primary Doctor so we can get to the bottom of this issue. I did not have this issue before I got my vaccine.

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 ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SRODyspnoea exertional ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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