2SC-29518-77012
1 vaccination
7 coded responses
10 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 731 / OK
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-19
Dose 1 — Moderna
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2021-03-23
Registered in v-safe
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Swollen tongue — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Mild spots of itchiness, swollen tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — day 7, dose 1MedDRA: Chest discomfort, Cough, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Achy, chest tight, coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-02
Survey response — day 14, dose 1MedDRA: Diplopia, Fatigue, Headache, Malaise, Pain, Somnolence, Vision blurred — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extremely tired with a very bad /severe headache, blurry, double vision , have been achy and sleepy; I haven't felt well since getting the shot; however these symptoms could also be explained possibly (in part) by allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 21, dose 1MedDRA: Chest pain, Chills, Cough, Headache, Injection site pain, Pain in extremity, Pyrexia, Sleep disorder, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Starting 4/7/21 I began throwing up in my sleep. I had over 101° fever, chills, pain n limb w such intensity, nothing 2ease it. Sounds crazy, injection site hurt again, next 3 days temp 102.8° +, coughing, chest pain, woke today w serious headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 28, dose 1MedDRA: Chest pain, Diarrhoea, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vomiting, fever 102.8° x 3d, severe diarrhea, headache, chest pain, cough, headache & cough w chest congestion remain, tested neg for COVID, have had flu vaccine, put off 2nd vaccine .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
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2021-05-01
Survey response — day 42, dose 1MedDRA: Atrioventricular block, Malaise, Medical observation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have found I have a blockag n rt side of body.The cardiologist is doing an ACT Scan atheart hospital. I'm afraid 2 get 2nd vaccine, bcuz if I get as sick as I did w 1st I won't b able 2 have procedure. My specialists feel I must get 2nd vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-20
- 2021-09-19
- 2022-03-11
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2022-03-20
Survey response — 12 months, dose 1MedDRA: COVID-19, Decreased interest, Depression, Dyspnoea, Fatigue, Feeling cold, Pain, Paraesthesia, Pre-existing disease — 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 · Outpatient clinic or urgent care clinic visitFree text: Achy, difficult breathing, freezing tingly feeling in cheeks, extreme fatigue, depression, loss of interest in all hobbies, most people, COVID, Long COVIDMedDRA releases: 2024-11 · check-in free text available
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2022-03-20
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Mild spots of itchiness, swollen tongue
Release 6 — day 7, dose 1
Systemic reaction (other): Achy, chest tight, coughing
Release 6 — day 14, dose 1
Symptoms: Extremely tired with a very bad /severe headache, blurry, double vision , have been achy and sleepy; I haven't felt well since getting the shot; however these symptoms could also be explained possibly (in part) by allergies.
Release 7 — day 21, dose 1
Symptoms: Starting 4/7/21 I began throwing up in my sleep. I had over 101° fever, chills, pain n limb w such intensity, nothing 2ease it. Sounds crazy, injection site hurt again, next 3 days temp 102.8° +, coughing, chest pain, woke today w serious headache cut off by CDC
Release 7 — day 28, dose 1
Symptoms: Vomiting, fever 102.8° x 3d, severe diarrhea, headache, chest pain, cough, headache & cough w chest congestion remain, tested neg for COVID, have had flu vaccine, put off 2nd vaccine .
Release 8 — day 42, dose 1
Symptoms: I have found I have a blockag n rt side of body.The cardiologist is doing an ACT Scan atheart hospital. I'm afraid 2 get 2nd vaccine, bcuz if I get as sick as I did w 1st I won't b able 2 have procedure. My specialists feel I must get 2nd vaccine. cut off by CDC
Release 11 — 12 months, dose 1
Symptoms: Achy, difficult breathing, freezing tingly feeling in cheeks, extreme fatigue, depression, loss of interest in all hobbies, most people, COVID, Long COVID
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 | Atrioventricular block | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased interest | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Diplopia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Medical observation | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release