ZHV-14081-81745

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 601 / IL
Registered: 2021-01-23

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

2021-01-22
Dose 1 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Asthma is acting up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea exertional, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Muscle or body aches, Fatigue or tiredness

Free text: SOB, dyspnea with activity (hx of asthma)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Pulmonary pain — Feeling: Good · Site: Pain

Free text: Achy lungs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Redness, Swelling, Itching

Free text: SOB

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Medical counselling, Office visit, Rash — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Developed rash and increased shortness of breath on Saturday 1/30/21 two weeks after first vaccine. Met with allergist/immunologist in my office and was put on Prednisone. · Healthcare visit (other): Telephone call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Moderna
2021-02-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 35, dose 2
MedDRA: Ageusia, Chronic sinusitis, Pre-existing disease — Feeling: Good

Free text: Partial loss of taste. May be getting sinus infection, which I do have a chronic history.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-01
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-19
Survey response — 12 months, dose 2
MedDRA: Allergy to surgical sutures, Dyspnoea, Hypersensitivity — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Increased shortness of breath. I am also now allergic to surgical glue and dissolvable sutures.

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — 12 months, 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-24
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Moderna
2	2021-02-19	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-05	Successful 2021-07-01	Reported to VAERS voluntarily prior to GDIT contact
2022-02-19	Successful 2022-03-24	Participant prefers to complete VAERS report online

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Asthma is acting up

2021-01-24

Systemic reaction (other): SOB, dyspnea with activity (hx of asthma)

2021-01-25

Systemic reaction (other): Achy lungs

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): SOB

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Developed rash and increased shortness of breath on Saturday 1/30/21 two weeks after first vaccine. Met with allergist/immunologist in my office and was put on Prednisone.

Healthcare visit (other): Telephone call

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Partial loss of taste. May be getting sinus infection, which I do have a chronic history.

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Increased shortness of breath. I am also now allergic to surgical glue and dissolvable sutures.

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	✓	✓	✓
SD	Ageusia	✓	✓	✓
SD	Allergy to surgical sutures	·	·	✓
SD	Chronic sinusitis	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓

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