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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

  1. 2021-03-19
    Dose 1 — Moderna
  2. 2021-03-23
    Registered in v-safe
  3. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Mild spots of itchiness, swollen tongue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-28
    Survey response — day 7, dose 1
    MedDRA: 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 visit
    Free text: Achy, chest tight, coughing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-28
    Report sent to call center — day 7, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-02
    Survey response — day 14, dose 1
    MedDRA: Diplopia, Fatigue, Headache, Malaise, Pain, Somnolence, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  7. 2021-04-12
    Survey response — day 21, dose 1
    MedDRA: 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 activities
    Free 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 headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-16
    Survey response — day 28, dose 1
    MedDRA: Chest pain, Diarrhoea, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  9. 2021-04-23
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-01
    Survey response — day 42, dose 1
    MedDRA: Atrioventricular block, Malaise, Medical observation — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  11. 2021-06-20
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-09-19
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  13. 2022-03-11
  14. 2022-03-20
    Survey response — 12 months, dose 1
    MedDRA: 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 visit
    Free text: Achy, difficult breathing, freezing tingly feeling in cheeks, extreme fatigue, depression, loss of interest in all hobbies, most people, COVID, Long COVID
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-03-20
    Report sent to call center — 12 months, dose 1
    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)
  16. 2022-03-24

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Moderna

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Mild spots of itchiness, swollen tongue

Release 6 — day 7, dose 1

2021-03-28

Systemic reaction (other): Achy, chest tight, coughing

Release 6 — day 14, dose 1

2021-04-02

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

2021-04-12

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

2021-04-16

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

2021-05-01

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

2022-03-20

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

FieldPreferred term2021-092023-042024-11
SDAtrioventricular block ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDecreased interest · · ✓
SDDepression · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDiplopia ✓ ✓ ✓
SDDyspnoea · · ✓
SDFatigue ✓ ✓ ✓
SDFeeling cold · · ✓
SDHeadache ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDMedical observation ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia · · ✓
SDPre-existing disease · · ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SDSomnolence ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSwollen tongue ✓ ✓ ✓

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