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24W-14832-14412

2 vaccinations 20 coded responses 25 check-ins 20 free-text entries 11 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
996 / AK
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Dose 1 — Moderna
  2. 2021-01-21
    Registered in v-safe
  3. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia, Nightmare — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Free text: Cant sleep. Thats been every night and when I do sleep, I have been having horrible awful dreams every night since the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain upper, Insomnia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Free text: Cant sleep at night. Moderate stomach pains the last 48 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lip blister, Oral mucosal blistering — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · 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: Blisters in the top of my mouth and blisters on my lips?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-24
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lip blister, Oral mucosal blistering — Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activities
    Free text: Blisters on the top of my mouth and my upper lip on the side of my shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-26
    Survey response — day 7, dose 1
    MedDRA: Oral mucosal blistering — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Blisters in my mouth are healing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-03
    Survey response — day 14, dose 1
    MedDRA: Arthralgia — Feeling: Fair
    Free text: My joints hurt all over.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-10
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-02-16
    Survey response — day 28, dose 1
    MedDRA: Arthralgia, Myalgia — Feeling: Poor · Be unable to work
    Free text: Joint and muscle pains.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-23
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-03-02
    Survey response — day 42, dose 1
    MedDRA: Arthralgia, Pain — Feeling: Poor · Be unable to work
    Free text: Body pains. Joints ache all over.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-21
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, Chest pain, Cough, Lip blister, Oral mucosal blistering — Feeling: Poor · Be unable to work
    Free text: Chest pain. Chronic cough, joint pain mouth and lip blisters!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-25
  17. 2021-05-28
  18. 2021-07-20
    Dose 2 — Moderna
  19. 2021-07-20
    Survey response — 6 months, dose 1
    MedDRA: Feeling abnormal, Nightmare, Oral mucosal blistering, Somniphobia — Feeling: Poor · 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: Symptoms: Continued blisters in my mouth. Ive had these since the day after my shot. Terrible dreams every night since my shot causing me to be afraid to go to sleep. · Healthcare visit (other): This shot s screwed me up. I will never do another one.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-07-20
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-07-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lip blister, Nightmare, Oral mucosal blistering — Feeling: Poor · Headache, Joint pains, Diarrhea, Rash, not including the immediate area around the injection site · 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: Blisters in my mouth and lips and terrible dreams every since the shot.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-07-22
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-07-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lip blister, Nightmare, Oral mucosal blistering — Feeling: Poor · Headache, Joint pains, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Blisters in my mouth and lips and terrible dreams every time I fall asleep.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2021-07-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lip blister, Nightmare, Oral mucosal blistering — Feeling: Poor · Site: Pain · Joint pains, Diarrhea · Be unable to do your normal daily activities
    Free text: Blisters in my mouth and on my lips and terrible dreams ever since the vaccine!
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2021-07-24
  26. 2021-07-24
  27. 2021-07-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Joint pains, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  28. 2021-07-26
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-07-27
    Survey response — day 7, dose 2
    MedDRA: Lip blister, Oral mucosal blistering — Feeling: Poor · Site: Pain · Joint pains, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Blisters in my mouth and on my lips. These are not your normal fever blisters. They come up quick and takes 4 to 5 weeks to heal.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2021-07-27
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2021-08-03
    Survey response — day 14, dose 2
    MedDRA: Insomnia, Nightmare, Unevaluable event — Feeling: Poor · 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
    Free text: Symptoms: Cant sleep and terrible dreams! · Healthcare visit (other): I cannot take the second one. And I wa t something like a vaccine card stating Im unable too and that is ok!
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  32. 2021-08-03
    Report sent to call center — day 14, 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)
  33. 2021-08-10
    Survey response — day 21, dose 2
    MedDRA: Adverse reaction, Arthralgia, Insomnia, Nightmare — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Cant sleep, terrible dreams and joint pain. · Healthcare visit (other): I cannot take another shot with all the problems every since the first one. What do I do?
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  34. 2021-08-10
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  35. 2021-08-13
  36. 2021-08-13
  37. 2021-08-24
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Nightmare — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Bad dreams and sore joints
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  38. 2021-08-24
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  39. 2021-08-27
  40. 2021-09-02
    Survey response — day 42, dose 2
    MedDRA: Nightmare, Stomatitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Terrible dreams and mouth sores. Ive been telling you that. What good does this do?
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  41. 2021-09-02
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  42. 2021-09-07
  43. 2021-09-10
  44. 2021-10-19
    Survey response — 3 months, dose 2
    MedDRA: Atrial fibrillation, Nightmare, Thrombosis — Feeling: Poor · 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
    Free text: Bad dreams. Blood clods and A-Fib. I've been getting checked for 6 years and never had this until my shot
    MedDRA releases: 2024-11 · check-in free text available
  45. 2021-10-19
    Report sent to call center — 3 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 · 1 call case(s)
  46. 2021-10-21
  47. 2022-01-19
    Survey response — 6 months, dose 2
    MedDRA: Cardioversion, Malaise, Nightmare, Office visit, Thrombosis — Feeling: Poor · 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: Symptoms: Terrible dreams, blood clods, heart defibrillation! Your vaccine almost killed me and my career! Two days after my vaccine I got deathly I'll. You almost killed me and your asking if I want another vac??? I'm having horrifying dreams ever since! · Healthcare visit (other): (b)(6)
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-01-19
    Report sent to call center — 6 months, 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)
  49. 2022-01-21
  50. 2022-07-22
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-07-20Moderna No

Call center

11 call center cases

11 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Cant sleep. Thats been every night and when I do sleep, I have been having horrible awful dreams every night since the shot.

2021-01-23

Systemic reaction (other): Cant sleep at night. Moderate stomach pains the last 48 hours.

2021-01-24

Systemic reaction (other): Blisters in the top of my mouth and blisters on my lips?

2021-01-25

Systemic reaction (other): Blisters on the top of my mouth and my upper lip on the side of my shot.

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): Blisters in my mouth are healing.

Release 3 — day 14, dose 1

2021-02-03

Symptoms: My joints hurt all over.

Release 4 — day 28, dose 1

2021-02-16

Symptoms: Joint and muscle pains.

Release 4 — day 42, dose 1

2021-03-02

Symptoms: Body pains. Joints ache all over.

Release 7 — 3 months, dose 1

2021-04-21

Symptoms: Chest pain. Chronic cough, joint pain mouth and lip blisters!

Release 9 — 6 months, dose 1

2021-07-20

Symptoms: Continued blisters in my mouth. Ive had these since the day after my shot. Terrible dreams every night since my shot causing me to be afraid to go to sleep.
Healthcare visit (other): This shot s screwed me up. I will never do another one.

Release 9 — days 1–6 daily, dose 2

2021-07-22

Systemic reaction (other): Blisters in my mouth and lips and terrible dreams every since the shot.

2021-07-23

Systemic reaction (other): Blisters in my mouth and lips and terrible dreams every time I fall asleep.

2021-07-24

Systemic reaction (other): Blisters in my mouth and on my lips and terrible dreams ever since the vaccine!

Release 9 — day 7, dose 2

2021-07-27

Systemic reaction (other): Blisters in my mouth and on my lips. These are not your normal fever blisters. They come up quick and takes 4 to 5 weeks to heal.

Release 9 — day 14, dose 2

2021-08-03

Symptoms: Cant sleep and terrible dreams!
Healthcare visit (other): I cannot take the second one. And I wa t something like a vaccine card stating Im unable too and that is ok!

Release 9 — day 21, dose 2

2021-08-10

Symptoms: Cant sleep, terrible dreams and joint pain.
Healthcare visit (other): I cannot take another shot with all the problems every since the first one. What do I do?

Release 9 — day 35, dose 2

2021-08-24

Symptoms: Bad dreams and sore joints

Release 9 — day 42, dose 2

2021-09-02

Symptoms: Terrible dreams and mouth sores. Ive been telling you that. What good does this do?

Release 10 — 3 months, dose 2

2021-10-19

Symptoms: Bad dreams. Blood clods and A-Fib. I've been getting checked for 6 years and never had this until my shot

Release 10 — 6 months, dose 2

2022-01-19

Symptoms: Terrible dreams, blood clods, heart defibrillation! Your vaccine almost killed me and my career! Two days after my vaccine I got deathly I'll. You almost killed me and your asking if I want another vac??? I'm having horrifying dreams ever since!
Healthcare visit (other): (b)(6)
redacted (b)(6)

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
HCVOAdverse reaction ✓ · ✓
HCVOFeeling abnormal · · ✓
HCVOOffice visit · · ✓
HCVOUnevaluable event ✓ · ✓
SDArthralgia ✓ ✓ ✓
SDAtrial fibrillation · · ✓
SDCardioversion · · ✓
SDChest pain ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDInsomnia ✓ · ✓
SDLip blister ✓ ✓ ✓
SDMalaise · · ✓
SDMyalgia ✓ ✓ ✓
SDNightmare ✓ · ✓
SDOral mucosal blistering ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDSomniphobia · · ✓
SDStomatitis ✓ · ✓
SDThrombosis · · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROLip blister ✓ ✓ ✓
SRONightmare ✓ ✓ ✓
SROOral mucosal blistering ✓ ✓ ✓

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

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