6DN-75161-50235

2 vaccinations 10 coded responses 13 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 334 / FL
Registered: 2021-04-16

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

2021-03-18
Dose 1 — Moderna
2021-04-15
Dose 2 — Moderna
2021-04-16
Registered in v-safe
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature fluctuation, Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I Do Not Run Fevers ever. My temp is normally 96.6. My breathing is impaired my temperature is going up and down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Poor · Site: Pain, Swelling · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Swollen tongue — Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen tongue mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I never run fevers so this is not a good indication for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I never run fevers. I was born with congenital heart disease which is why

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Cough, Productive cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: I developed a wore cough. My doctor prescribed steroid dose pack and I stared coughing up dark green and brown phlegm. I was put on augmention the levaquin. I have a mechanical heart valve and my whit count was up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 21, dose 2
MedDRA: Cold sweat, Dizziness, Dyspnoea, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Shortness of breath. Dizzy. Wreaking up in cold sweat. Its vey odd that I still feel this way. · Healthcare visit (other): My doctor had prescribed a medfol dose pk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Office visit, Rash — Feeling: Fair

Free text: My breathing is not great I have an appointment with a pulmonary doctor on WednesdayAlso I had developed a rash on my elbow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Office visit, Rhinovirus infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I managed to catch a good old fashioned rhinos virus · Healthcare visit (other): In office doctor

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Dizziness, Fatigue, Muscle disorder, Office visit, Tremor — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue, muscle issues, dizziness, shaking hand I am seeing a rheumatologist and trying to get into a Nero. I'm on steroids and Is bad

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): I Do Not Run Fevers ever. My temp is normally 96.6. My breathing is impaired my temperature is going up and down

2021-04-18

Systemic reaction (other): Weak

2021-04-19

Systemic reaction (other): Swollen tongue mild

2021-04-20

Systemic reaction (other): I never run fevers so this is not a good indication for me.

2021-04-21

Systemic reaction (other): I never run fevers. I was born with congenital heart disease which is why

Release 8 — day 14, dose 2

2021-04-29

Symptoms: I developed a wore cough. My doctor prescribed steroid dose pack and I stared coughing up dark green and brown phlegm. I was put on augmention the levaquin. I have a mechanical heart valve and my whit count was up.

Release 8 — day 21, dose 2

2021-05-08

Symptoms: Shortness of breath. Dizzy. Wreaking up in cold sweat. Its vey odd that I still feel this way.

Healthcare visit (other): My doctor had prescribed a medfol dose pk

Release 8 — day 28, dose 2

2021-05-15

Symptoms: My breathing is not great I have an appointment with a pulmonary doctor on WednesdayAlso I had developed a rash on my elbow.

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: I managed to catch a good old fashioned rhinos virus

Healthcare visit (other): In office doctor

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Fatigue, muscle issues, dizziness, shaking hand I am seeing a rheumatologist and trying to get into a Nero. I'm on steroids and Is bad

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	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Cold sweat	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Muscle disorder	·	·	✓
SD	Office visit	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rhinovirus infection	·	·	✓
SD	Tremor	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Body temperature fluctuation	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	○
SRO	Swollen tongue	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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