XY7-13332-01644

2 vaccinations 9 coded responses 12 check-ins 9 free-text entries 8 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 382 / TN
Registered: 2021-03-28

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

2021-02-25
Dose 1 — Moderna
2021-03-25
Dose 2 — Moderna
2021-03-28
Registered in v-safe
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal 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

Adult check-in
2021-03-30
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)
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Oxygen saturation decreased — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal 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

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-31
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)
2021-04-01
Survey response — 7 day, dose 2
MedDRA: Dyspnoea, Office visit — Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-01
Report sent to call center — 7 day, 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)
2021-04-08
Survey response — 14 day, dose 2
MedDRA: Chest discomfort, Cough, Dyspnoea, SARS-CoV-2 test negative, Steroid therapy, Unevaluable event, X-ray — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-08
Report sent to call center — 14 day, 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)
2021-04-15
Survey response — 21 day, dose 2
MedDRA: Adverse reaction, Unevaluable event — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-15
Report sent to call center — 21 day, 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)
2021-04-22
Survey response — 28 day, dose 2
MedDRA: Dyspnoea, Hyperhidrosis — Feeling: Fair · 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

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-22
Report sent to call center — 28 day, 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)
2021-04-29
Health check-in — 35 day, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — 42 day, dose 2
MedDRA: Heart rate increased — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-06
Report sent to call center — 42 day, 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)
2021-06-10
Call successful
Other
2021-06-24
Survey response — 3 month, dose 2
MedDRA: Computerised tomogram abnormal, Illness, Myocarditis, Thyroid mass — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-24
Report sent to call center — 3 month, 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)
2021-06-29
Call 2 — Left Voicemail
2021-09-24
Health check-in — 6 month, dose 2
Feeling: Fair

Adult check-in
2022-01-08
Call 1 — Left Voicemail
2022-01-09
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-25	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-30	Successful	Other
2021-03-31	Successful	Other
2021-04-01	Successful	Other
2021-04-08	Successful	Other
2021-04-15	Successful	Other
2021-04-22	Successful	Other
2021-05-06	Successful 2021-06-10	Other
2021-06-24	Successful 2022-01-09	Participant prefers to complete VAERS report online

Free text

Release 6

Systemic reaction (other): I had fever and chills earlier this week after shot.

Systemic reaction (other): Heaviness in chest

Systemic reaction (other): Still struggling with chest tightness and low O2

Systemic reaction (other): Breathing has worsened. Had to have breathing treatments.

Healthcare visit (other): Chest X-ray after dr visit

Release 7

Symptoms: Shortness of breath, cough chest heaviness increased from onset related to vaccine. Doctor said lungs not moving air. Lung X-ray clear. Flu and Covid negative. Steroids, steroid inhaler, albuterol nebulizer, and benzonate prescribed. Better w meds. cut off by CDC

Healthcare visit (other): Meds see comments

Symptoms: Dr says lungs are moving air better. I had to use rescue inhaler this week for first time in years. Still taking steroids, steroid inhaler, breathing treatments and cough suppressant due to symptoms that started after vaccine 3 weeks ago.

Healthcare visit (other): Meds

Symptoms: While I am feeling somewhat better, I still have shortness of breath. My new symptoms are: I woke up for 3 nights I a row needing to take breaths. Also, when I tried to clean house, I experienced notably more sweating than I normally would.

Release 8

Symptoms: Fast heart beat on exertion

Release 9

Symptoms: My doctor believes my earlier vaccine illness may have been myocarditis. I have recovered after 12 weeks but am not back to prevax health.A CT scan that ruled out pulmonary embolism found a large thyroid nodule. I have a biopsy scheduled Monday.

Free-text releases are not linked to a specific 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	Adverse reaction	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Computerised tomogram abnormal	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Illness	✓	✓	✓
SD	Myocarditis	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Steroid therapy	✓	✓	✓
SD	Thyroid mass	✓	✓	✓
SD	X-ray	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Oxygen saturation decreased	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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