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2RD-10701-13732

4 vaccinations 13 coded responses 46 check-ins 12 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
234 / VA
Registered
2021-02-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-15
    Dose 1 — Moderna
  2. 2021-02-18
    Registered in v-safe
  3. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Constricted breathing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-22
    Survey response — day 7, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Diarrhea
    Free text: I have been erupting in bouts of rage since the vaccine. May be just overload here at home, but have never been like this before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-15
    Dose 2 — Moderna
  11. 2021-03-15
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease, Wheezing — Feeling: Fair · Joint pains, Diarrhea · Be unable to do your normal daily activities
    Free text: Asthma-like whistling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Muscular weakness — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness, Diarrhea
    Free text: Legs feel weak and Im lightheaded.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Headache, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Nausea
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-22
    Survey response — day 7, dose 2
    MedDRA: Arrhythmia — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Heart arrhythmia real active
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-13
    Survey response — 6 months, dose 2
    MedDRA: Cough, Device issue, Dyspnoea, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Difficulty breathing and coughing from particles breathed in from my CPAP · Healthcare visit (other): Reg. Dr. Appt
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-09-13
    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
    1 call case(s)
  27. 2021-09-16
  28. 2021-10-28
    Dose 3 — Moderna
    Co-administered: Flu
  29. 2021-10-28
    Health check-in — day 0, dose 3
    Feeling: Good · Diarrhea
    Adult check-in
  30. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Fair · None
    Adult check-in
  37. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-18
    Survey response — day 21, dose 3
    MedDRA: Asthenia, Fatigue, Gastrointestinal disorder, Headache, Poor quality sleep, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Exhaustion, poor sleep, headaches, falling asleep in my chair, feeling weaker than usual and digestive issues.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-14
    Dose 4 — Moderna
  44. 2022-04-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: Hyperhidrosis — Feeling: Fair · Nausea
    Free text: Heavy sweating
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-04-21
    Health check-in — day 7, dose 4
    Feeling: Fair · Nausea
    Adult check-in
  46. 2022-04-28
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-05-05
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  48. 2022-05-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-05-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-05-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-07-14
    Survey response — 3 months, dose 4
    MedDRA: Cough, Nasal congestion — Feeling: Good
    Free text: Cough and nasal congestion.
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-10-13
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  53. 2023-04-14
    Survey response — 12 months, dose 4
    MedDRA: Atrial fibrillation, Brain fog, COVID-19, Cardiac disorder, Hypersomnia, Memory impairment, Muscular weakness, Office visit, Tremor — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  54. 2023-04-14
    Report sent to call center — 12 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  55. 2023-04-17
  56. 2023-04-17
  57. 2023-04-25
  58. 2023-04-25
  59. 2023-04-28
  60. 2023-04-28
  61. 2023-04-28

Vaccinations

DoseDateManufacturerCo-administered
12021-02-15Moderna
22021-03-15Moderna
32021-10-28Moderna Flu
42022-04-14Moderna No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Constricted breathing.

Release 4 — day 7, dose 1

2021-02-22

Systemic reaction (other): I have been erupting in bouts of rage since the vaccine. May be just overload here at home, but have never been like this before.

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Asthma-like whistling.

2021-03-18

Systemic reaction (other): Legs feel weak and Im lightheaded.

2021-03-19

Systemic reaction (other): Headache

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Dizzy

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): Heart arrhythmia real active

Release 9 — 6 months, dose 2

2021-09-13

Symptoms: Difficulty breathing and coughing from particles breathed in from my CPAP
Healthcare visit (other): Reg. Dr. Appt

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): None

Release 10 — day 21, dose 3

2021-11-18

Symptoms: Exhaustion, poor sleep, headaches, falling asleep in my chair, feeling weaker than usual and digestive issues.

Release 11 — days 1–6 daily, dose 4

2022-04-19

Systemic reaction (other): Heavy sweating

Release 12 — 3 months, dose 4

2022-07-14

Symptoms: Cough and nasal congestion.

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
HCVOOffice visit · · ✓
SDAsthenia · · ✓
SDAtrial fibrillation · · ✓
SDBrain fog · · ✓
SDCardiac disorder · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDevice issue · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDGastrointestinal disorder · · ✓
SDHeadache · · ✓
SDHypersomnia · · ✓
SDMemory impairment · · ✓
SDMuscular weakness · · ✓
SDNasal congestion · · ✓
SDPoor quality sleep · · ✓
SDSomnolence · · ✓
SDTremor · · ✓
SROAdverse reaction ✓ ✓ ✓
SROArrhythmia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHyperhidrosis · · ✓
SROMuscular weakness ✓ ✓ ✓
SRONo adverse event · · ✓
SROPre-existing disease ✓ ✓ ✓
SROWheezing ✓ ✓ ✓

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