6YM-31931-14739

2 vaccinations 14 coded responses 20 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 191 / PA
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Good · Fatigue or tiredness

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Medical counselling, Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Shortness of breath (I have asthma but haven't had shortness of breath in at least 5 years. · Healthcare visit (other): Phoned my pcp for an albuterol inhaler.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — day 7, dose 1
MedDRA: Asthma, Dyspnoea, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Breathless - I have asthma. Haven't had to use an inhaler for years. Needed on. Have a telemedicine appt tonight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Fair

Free text: Extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-29
Call successful
Participant prefers to complete VAERS report online
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Office visit, Pruritus — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Extreme back itching, shortness of breath · Healthcare visit (other): Workplace (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Pruritus — Feeling: Good

Free text: Shortness of breath, back itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 7, dose 2
MedDRA: Feeling jittery — Feeling: Fair

Free text: Jittery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-02-26
Survey response — day 28, dose 2
MedDRA: Arthralgia, Dyspnoea, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Im having increased shortness of breath and horrific muscle spasm pain in my lower back and b/l hip pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Headache, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Horrible back and hip muscle cramps. Shortness of breath. Headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — 3 months, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Extreme shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call 1 — Left Voicemail
2021-08-01
Survey response — 6 months, dose 2
MedDRA: Chills, Diarrhoea, Dyspnoea, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Returning shortness of breath. Chills. Sore throat. Diarrhea.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-14
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-29	Moderna

Call center

4 call center cases

2 successful · 2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Shortness of breath

2020-12-31

Systemic reaction (other): Shortness of breath

2021-01-01

Systemic reaction (other): Shortness of breath

2021-01-02

Systemic reaction (other): Shortness of breath (I have asthma but haven't had shortness of breath in at least 5 years.

Healthcare visit (other): Phoned my pcp for an albuterol inhaler.

2021-01-03

Systemic reaction (other): Shortness of breath

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Breathless - I have asthma. Haven't had to use an inhaler for years. Needed on. Have a telemedicine appt tonight.

Release 2 — day 21, dose 1

2021-01-19

Symptoms: Extreme fatigue

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Extreme back itching, shortness of breath

Healthcare visit (other): Workplace (b)(6)

redacted (b)(6)

2021-02-03

Systemic reaction (other): Shortness of breath, back itching

Release 3 — day 7, dose 2

2021-02-05

Systemic reaction (other): Jittery

Release 4 — day 28, dose 2

2021-02-26

Symptoms: Im having increased shortness of breath and horrific muscle spasm pain in my lower back and b/l hip pain.

Release 5 — day 42, dose 2

2021-03-12

Symptoms: Horrible back and hip muscle cramps. Shortness of breath. Headaches.

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Extreme shortness of breath.

Release 9 — 6 months, dose 2

2021-08-01

Symptoms: Returning shortness of breath. Chills. Sore throat. Diarrhea.

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Telemedicine	○	○	○
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	·	✓
SD	Diarrhoea	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SRO	Asthma	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling jittery	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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