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23R-21060-30148

2 vaccinations 4 coded responses 16 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
431 / OH
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Suicidal ideation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I had a lot of fatigue. But the 17th, I started to have suicidal thoughts, but was not suicidal. That progressed to waking up from a dream with an entire plan that I then had to convince my mind I did not want, as I had no reason or desire to die.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-02
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-10
    Dose 2 — Moderna
  7. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal discomfort — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Burning way back in my nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  9. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  10. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-12
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-07-13
  20. 2021-08-11
    Survey response — 6 months, dose 2
    MedDRA: Central serous chorioretinopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Central serous retinopathy to left eye
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-08-11
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-08-15
  23. 2022-02-10
    Survey response — 12 months, dose 2
    MedDRA: Condition aggravated, Myalgia, Pre-existing disease, Retinopathy, Stress, Tooth disorder — 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, Emergency room or emergency department visit, Hospitalization
    Free text: My deltoid muscle has been very sore and continues to be this way, so I have referral to physical therapy. Since the booster, I have had flares of my interstitial cystitis and fibromyalgia. Dental issues and stress related retinopathy. Mental decline
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-02-10
    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
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  25. 2022-02-14

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-10Moderna

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-02

Symptoms: I had a lot of fatigue. But the 17th, I started to have suicidal thoughts, but was not suicidal. That progressed to waking up from a dream with an entire plan that I then had to convince my mind I did not want, as I had no reason or desire to die.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Burning way back in my nose

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Central serous retinopathy to left eye

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: My deltoid muscle has been very sore and continues to be this way, so I have referral to physical therapy. Since the booster, I have had flares of my interstitial cystitis and fibromyalgia. Dental issues and stress related retinopathy. Mental decline cut off by CDC

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

FieldPreferred term2021-092023-042024-11
SDCentral serous chorioretinopathy ✓ · ✓
SDCondition aggravated · · ✓
SDFatigue ✓ ✓ ✓
SDMyalgia · · ✓
SDPre-existing disease · · ✓
SDRetinopathy · · ✓
SDStress · · ✓
SDSuicidal ideation ✓ ✓ ✓
SDTooth disorder · · ✓
SRONasal discomfort ✓ ✓ ✓

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