6G8-21886-00269

2 vaccinations 10 coded responses 19 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 080 / NJ
Registered: 2021-08-13

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

2021-08-11
Dose 1 — Moderna
2021-08-13
Registered in v-safe
2021-08-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Good

Free text: Mild SOB

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-16
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Headache

Free text: SOB & mild chest pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good

Free text: Mild chest pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Survey response — day 7, dose 1
MedDRA: Chest pain, Dyspnoea — Feeling: Good

Free text: SOB & mild chest pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Survey response — day 14, dose 1
MedDRA: Chest pain, SARS-CoV-2 test negative — Feeling: Good

Free text: Occasional chest pain everyday since vaccinated. I tested NEGATIVE for COVID-19 on 8/16/21.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Survey response — day 21, dose 1
MedDRA: Chest pain, Dyspnoea — Feeling: Good

Free text: Occasional shortness of breath and chest pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Dose 2 — Moderna
2021-09-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-14
Health check-in — day 7, dose 2
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-09-21
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Diarrhoea, Syncope — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe diarrhea and abdominal pain multiple times per day to the point of syncope every day since receiving the 2nd dose 2 weeks ago.

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Diarrhoea, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe abdominal pain and diarrhea. I had to go for a colonoscopy yesterday. · Healthcare visit (other): Outpatient colonoscopy

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — day 21, dose 2
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)
2021-10-12
Survey response — day 35, dose 2
MedDRA: Cough, Hypopnoea, Irritable bowel syndrome, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Worsening dry cough, unable to take deep breaths, and increased IBS symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Asthma, Constipation, Diarrhoea, Dyspnoea, 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: Severe abdominal pain. Lessening diarrhea. More constipation now. Colonoscopy results came back negative. Still having SOB and worsening asthma symptoms.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-26
Call 1 — Left Voicemail
2021-12-14
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2022-03-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-11	Moderna	No
2	2021-09-07	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-14

Systemic reaction (other): Mild SOB

2021-08-16

Systemic reaction (other): SOB & mild chest pain

2021-08-17

Systemic reaction (other): Mild chest pain

Release 9 — day 7, dose 1

2021-08-19

Systemic reaction (other): SOB & mild chest pain

Release 9 — day 14, dose 1

2021-08-26

Symptoms: Occasional chest pain everyday since vaccinated. I tested NEGATIVE for COVID-19 on 8/16/21.

Release 9 — day 21, dose 1

2021-09-01

Symptoms: Occasional shortness of breath and chest pain

Release 9 — day 14, dose 2

2021-09-21

Symptoms: Severe diarrhea and abdominal pain multiple times per day to the point of syncope every day since receiving the 2nd dose 2 weeks ago.

Release 9 — day 21, dose 2

2021-09-29

Symptoms: Severe abdominal pain and diarrhea. I had to go for a colonoscopy yesterday.

Healthcare visit (other): Outpatient colonoscopy

Release 10 — day 35, dose 2

2021-10-12

Symptoms: Worsening dry cough, unable to take deep breaths, and increased IBS symptoms.

Release 10 — day 42, dose 2

2021-10-21

Symptoms: Severe abdominal pain. Lessening diarrhea. More constipation now. Colonoscopy results came back negative. Still having SOB and worsening asthma symptoms.

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	Abdominal pain	·	·	✓
SD	Asthma	·	·	✓
SD	Chest pain	✓	·	✓
SD	Constipation	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Hypopnoea	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Syncope	·	·	✓
SRO	Chest pain	✓	·	✓
SRO	Dyspnoea	✓	·	✓

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