2LN-18172-02032
5 vaccinations
20 coded responses
66 check-ins
19 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 208 / MD
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-31
Dose 1 — Moderna
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2021-04-01
Registered in v-safe
- 2021-04-01
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: Pain · Joint painsFree text: Overall itchiness overnight; gone nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Fluid retention, Lymphadenopathy — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen glands and water retention even though I take furosemideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Inflammation, Polymyalgia rheumatica, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Started 20 mg prednisone due to inflammation and polymyalgia rheumatica flare. Since first shot administered at height of seasonal allergy season and large decrease in barometric pressure, shot likely overwhelmed my system. Would have preferred February to get shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen glandsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
- 2021-04-21
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2021-04-28
Dose 2 — Moderna
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2021-04-28
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: I only just got the shot 2 hours agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: 12:30 am bodyaches bad and woke me up but were gone when I woke up at 7 amMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Fluid retention, Pain, Weight increased — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Bad water retention; gained 4 pounds even though on 40 mg Lasix; hurts since so uncomfortableMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen glands and bad fluid retention even though taking 40 mg LasixMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — day 14, dose 2MedDRA: Discomfort, Gait disturbance, Insomnia, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes. Uncomfortable and hard to walk. Uncomfortable to sleep. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — day 21, dose 2MedDRA: Gait disturbance, Insomnia, Lymphadenopathy, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Swollen lymph glands are worse. Hard to put my arms down at my side. Legs are painful as well and hard to walk. Hard to sit and sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — day 28, dose 2MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Started to wear compression socks since lower legs and feet so bad after any form of activity (getting a shower, watering plants in yard with hose, grocery shopping) and having to take sneakers off right after. Need for upper armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
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2021-06-11
Survey response — day 42, dose 2MedDRA: Polymyalgia rheumatica, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Polymyalgia rheumatica flare. Needed to take prednisone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-28
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2021-10-27
Survey response — 6 months, dose 2MedDRA: Asthenia, Chest discomfort, Dizziness, Hypotension, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Low blood pressure, lightheaded, weakness, chest pressure · Healthcare visit (other): In-person doc office visitMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-01
Dose 3 — Moderna
- 2021-11-01
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Insomnia, Loss of personal independence in daily activities — Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: While I do not have now, the symptoms above I had 24 h after shot and for 12 h. Could not sleep or do anything but lie down. Then woke up and they were goneMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
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2021-11-15
Survey response — day 14, dose 3MedDRA: Lymph node pain, Lymphadenopathy, Movement disorder, Sleep disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Swollen glands in neck and under arm on left side (arm I got shot). Hurt bad and could not sleep on that side or lift arm. Resolved 24 hours later.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
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2022-04-26
Dose 4 — Moderna
- 2022-04-26
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2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal distension, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling in legs and midsectionMedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-29
- 2022-04-30
- 2022-05-01
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2022-05-02
Survey response — days 1–6 daily, dose 4MedDRA: Back pain, Chest discomfort, Oropharyngeal pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat, chest tightness, pain between shouldersMedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
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2022-05-10
Survey response — day 14, dose 4MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Seasonal allergies worse than usual since pollen as well as mold allergies aggravated by unusual storms. Worse after vaccination but probably coincidence.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-07-26
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2022-09-19
Dose 5 — Moderna
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2022-09-20
Survey response — days 1–6 daily, dose 5MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: Swollen glands under both armsMedDRA releases: 2024-11 · check-in free text available
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-12-19
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2023-03-20
Survey response — 6 months, dose 5MedDRA: Arthralgia, Gait disturbance, Groin pain — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-26 | Moderna | No |
| 5 | 2022-09-19 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Overall itchiness overnight; gone now
Systemic reaction (other): Swollen glands and water retention even though I take furosemide
Systemic reaction (other): Started 20 mg prednisone due to inflammation and polymyalgia rheumatica flare. Since first shot administered at height of seasonal allergy season and large decrease in barometric pressure, shot likely overwhelmed my system. Would have preferred February to get shot.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen glands
Release 8 — day 0, dose 2
Systemic reaction (other): I only just got the shot 2 hours ago
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): 12:30 am bodyaches bad and woke me up but were gone when I woke up at 7 am
Systemic reaction (other): Bad water retention; gained 4 pounds even though on 40 mg Lasix; hurts since so uncomfortable
Release 8 — day 7, dose 2
Systemic reaction (other): Swollen glands and bad fluid retention even though taking 40 mg Lasix
Release 8 — day 14, dose 2
Symptoms: Swollen lymph nodes. Uncomfortable and hard to walk. Uncomfortable to sleep. No fever.
Release 8 — day 21, dose 2
Symptoms: Swollen lymph glands are worse. Hard to put my arms down at my side. Legs are painful as well and hard to walk. Hard to sit and sleep.
Release 8 — day 28, dose 2
Symptoms: Started to wear compression socks since lower legs and feet so bad after any form of activity (getting a shower, watering plants in yard with hose, grocery shopping) and having to take sneakers off right after. Need for upper arms
Release 9 — day 42, dose 2
Symptoms: Polymyalgia rheumatica flare. Needed to take prednisone.
Release 10 — 6 months, dose 2
Symptoms: Low blood pressure, lightheaded, weakness, chest pressure
Healthcare visit (other): In-person doc office visit
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): While I do not have now, the symptoms above I had 24 h after shot and for 12 h. Could not sleep or do anything but lie down. Then woke up and they were gone
Release 10 — day 14, dose 3
Symptoms: Swollen glands in neck and under arm on left side (arm I got shot). Hurt bad and could not sleep on that side or lift arm. Resolved 24 hours later.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swelling in legs and midsection
Systemic reaction (other): Sore throat, chest tightness, pain between shoulders
Release 11 — day 14, dose 4
Symptoms: Seasonal allergies worse than usual since pollen as well as mold allergies aggravated by unusual storms. Worse after vaccination but probably coincidence.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Swollen glands under both arms
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Groin pain | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Hypotension | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Movement disorder | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Polymyalgia rheumatica | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Abdominal distension | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Fluid retention | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Loss of personal independence in daily activities | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Polymyalgia rheumatica | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Weight increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release