6ER-10374-67660

4 vaccinations 19 coded responses 48 check-ins 19 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 761 / TX
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Survey response — day 0, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Redness, Swelling

Free text: My asthma is acting up since the vaccine; but I'm not certain whether it has been triggered by the vaccine or the trees around me as I waited outdoors for the vaccine; using my inhaler.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Malaise, Pre-existing disease, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness, Nausea · Be unable to work

Free text: I steel feel slightly asthmatic but did not use my inhaler; general malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration — Feeling: Good

Free text: I should have noted previously that I've felt somewhat dehydrated over the past 2-3 days, including today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — day 7, dose 1
MedDRA: Asthma — Feeling: Fair

Free text: I am experiencing some mild asthma symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Injection site erythema, Injection site pruritus, Injection site swelling, Pre-existing disease, Self-medication, Skin discolouration — Feeling: Good

Free text: The swelling and redness lasted at the injection site in my arm until about 12-days post-vaccination, and began to itch such that I bought an anti-itch cream. The coloring also developed a bit of a grayish or bruising hue. Asthma up a bit as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 21, dose 1
MedDRA: Injection site discolouration, Injection site erythema — Feeling: Good

Free text: I just want to note that my arm is still discolored (about 2x3) at the injection site-kind of reddish/gray.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Dose 2 — Moderna
2021-02-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Night sweats — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea · Be unable to work

Free text: Night sweats, then mild chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Mouth breathing, Nasal congestion, Self-medication, Sneezing, Throat irritation — Feeling: Fair · Fatigue or tiredness

Free text: Severe, uncontrollable sneezing episode of about 7 hours and itching in throat last night. Definitely not like mere allergies. Maybe its not related, but I was miserable and my nasal passages were so swollen that I had to breathe through my mouth. Benadryl helped but did nothing completely quell the episode.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Brain fog, Fatigue — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Extreme fatigue and brain fog

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-22
Dose 3 — Moderna
2021-10-24
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Fatigue, Hyperhidrosis, Myalgia, Nausea — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A lot of sweating today 10/24/21. Nausea, chills, muscle aches and pain, fatigue, sweating on 10/22/21 to 10/23/21

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Nausea

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Nausea

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Nausea

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-22
Survey response — 6 months, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Fair

Free text: Asthma is flaring a bit

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Dose 4 — Moderna
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ringing in my ears; mild asthma symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma — Feeling: Fair · Site: Pain, Swelling, Itching

Free text: Asthma symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma — Feeling: Fair · Site: Redness, Swelling, Itching

Free text: Asthma symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma — Feeling: Poor · Site: Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Asthma symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — day 7, dose 4
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2022-05-10
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-17
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-24
Survey response — day 28, dose 4
MedDRA: Fatigue, Nausea — Feeling: Fair

Free text: Nausea, extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Survey response — day 35, dose 4
MedDRA: Asthma, Dyspnoea, Fatigue, Feeling hot, Pain — Feeling: Poor · Be unable to work or attend school

Free text: Increased shortness of breath/asthma, feeling overheated, aches, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Survey response — day 42, dose 4
MedDRA: Asthma, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Asthma flare up requiring addition of daily medication and prednisone · Healthcare visit (other): In office visit with PCP

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-08
Call 1 — Left Voicemail
2022-07-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-25
Survey response — 6 months, dose 4
MedDRA: Asthma, Pre-existing disease — Feeling: Fair

Free text: Asthma flares

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna
3	2021-10-22	Moderna	No
4	2022-04-26	Moderna	No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-05

Systemic reaction (other): My asthma is acting up since the vaccine; but I'm not certain whether it has been triggered by the vaccine or the trees around me as I waited outdoors for the vaccine; using my inhaler.

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): I steel feel slightly asthmatic but did not use my inhaler; general malaise

2021-01-10

Systemic reaction (other): I should have noted previously that I've felt somewhat dehydrated over the past 2-3 days, including today.

Release 1 — day 7, dose 1

2021-01-12

Systemic reaction (other): I am experiencing some mild asthma symptoms.

Release 2 — day 14, dose 1

2021-01-19

Symptoms: The swelling and redness lasted at the injection site in my arm until about 12-days post-vaccination, and began to itch such that I bought an anti-itch cream. The coloring also developed a bit of a grayish or bruising hue. Asthma up a bit as well. cut off by CDC

Release 2 — day 21, dose 1

2021-01-26

Symptoms: I just want to note that my arm is still discolored (about 2x3) at the injection site-kind of reddish/gray.

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Night sweats, then mild chills

2021-02-05

Systemic reaction (other): Severe, uncontrollable sneezing episode of about 7 hours and itching in throat last night. Definitely not like mere allergies. Maybe its not related, but I was miserable and my nasal passages were so swollen that I had to breathe through my mouth. Benadryl helped but did nothing completely quell the episode.

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Extreme fatigue and brain fog

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): A lot of sweating today 10/24/21. Nausea, chills, muscle aches and pain, fatigue, sweating on 10/22/21 to 10/23/21

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: Asthma is flaring a bit

Release 11 — days 1–6 daily, dose 4

2022-04-27

Systemic reaction (other): Ringing in my ears; mild asthma symptoms

2022-04-28

Systemic reaction (other): Asthma symptoms

2022-04-30

Systemic reaction (other): Asthma symptoms

2022-05-01

Systemic reaction (other): Asthma symptoms

Release 11 — day 28, dose 4

2022-05-24

Symptoms: Nausea, extreme fatigue

Release 11 — day 35, dose 4

2022-05-31

Symptoms: Increased shortness of breath/asthma, feeling overheated, aches, fatigue

Release 11 — day 42, dose 4

2022-06-07

Symptoms: Asthma flare up requiring addition of daily medication and prednisone

Healthcare visit (other): In office visit with PCP

Release 12 — 6 months, dose 4

2022-10-25

Symptoms: Asthma flares

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	Asthma	·	·	✓
SD	Brain fog	✓	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	·	✓
SD	Feeling hot	·	·	✓
SD	Injection site discolouration	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Skin discolouration	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Mouth breathing	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tinnitus	·	·	✓

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