27U-84686-74743
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 660 / KS
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-26
Registered in v-safe
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2021-02-26
Dose 1 — Moderna
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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Tingling in hands and feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose decreased, Blood glucose fluctuation, Blood glucose increased, Immediate post-injection reaction, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I have type 1 diabetes.My blood sugars for the past two or three days have been quite erratic. they Rose very quickly right after the vaccine and then crashed very quickly a few hours later. I had the lowest blood sugar I've had in many years - a 37 mg/dL about five hours after receiving the vaccine. I have had quite a huge range of blood sugar fluctuation since then as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose abnormal — Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Blood sugar swings and especially lows are still quite pronounced and rapid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-05
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2021-03-19
Survey response — day 21, dose 1MedDRA: Paraesthesia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tingling weird feeling in feet and handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Dose 2 — Moderna
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2021-03-26
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: PainFree text: Slightly light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-01
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2021-04-04
Health check-in — day 7, dose 2Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-17
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2021-04-23
Survey response — day 28, dose 2MedDRA: Heart rate increased, Insomnia — Feeling: FairFree text: Rapid heart rate sleeplessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Tingling in hands and feet
Systemic reaction (other): I have type 1 diabetes.My blood sugars for the past two or three days have been quite erratic. they Rose very quickly right after the vaccine and then crashed very quickly a few hours later. I had the lowest blood sugar I've had in many years - a 37 mg/dL about five hours after receiving the vaccine. I have had quite a huge range of blood sugar fluctuation since then as well.
Systemic reaction (other): Blood sugar swings and especially lows are still quite pronounced and rapid.
Release 5 — day 21, dose 1
Symptoms: Tingling weird feeling in feet and hands
Release 6 — day 0, dose 2
Systemic reaction (other): Slightly light headed
Release 7 — day 28, dose 2
Symptoms: Rapid heart rate sleepless
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 |
|---|---|---|---|---|
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Blood glucose abnormal | ✓ | ✓ | ✓ |
| SRO | Blood glucose decreased | ✓ | ✓ | ✓ |
| SRO | Blood glucose fluctuation | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release