2UE-28642-51222
2 vaccinations
11 coded responses
18 check-ins
11 free-text entries
9 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 481 / MI
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-07
Registered in v-safe
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2021-01-07
Dose 1 — Moderna
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Parosmia — Feeling: Fair · Site: PainFree text: Last night had weird smell and sensation as if I had just done nose spray. Today chest feels odd (not painful) just the way it does after taking SudafedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Nasal congestion — Feeling: Good · Site: PainFree text: Nose sensation as if I have Kleenex stuffed in each nostril and chest discomfort (not pain)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Chest feels as if I took Sudafed and nose feels as if I did nose spray.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-11
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-12
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-14
Health check-in — day 7, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-14
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-21
Survey response — day 14, dose 1MedDRA: Nasal pruritus, Pruritus — Feeling: GoodFree text: Unbearable Itching (especially nose)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — day 21, dose 1MedDRA: Fatigue, Nasal pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: FatigueItching of noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — day 28, dose 1MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Dose 2 — Moderna
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2021-02-16
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-22
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2021-03-01
Survey response — day 21, dose 2MedDRA: Hyperhidrosis, Pyrexia, Syncope, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Syncope, diaphoresis, fever, vomitingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-08
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2021-03-15
Survey response — day 35, dose 2MedDRA: Depression, Nausea, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: DepressionPalpitationsNauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-22
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2021-05-10
Survey response — 3 months, dose 2MedDRA: Chest pain, Fatigue, Palpitations — Feeling: Fair · 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: Severe fatigue has returned along with palpitations and chest pain. In addition a sense of despair.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-28
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2021-08-09
Survey response — 6 months, dose 2MedDRA: Bone pain, Oropharyngeal pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Chronic unilateral sore throat and lower extremity bone pain. · Healthcare visit (other): Tests upcomingMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-09
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)
- 2021-08-16
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2021-12-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-02-14
Survey response — 12 months, dose 2MedDRA: Onychomadesis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Death of a second fingernail without any traumaMedDRA releases: 2024-11 · check-in free text available
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2022-02-14
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-02-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-08 | Moderna |
Call center
9 call center cases
5 successful · 4 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Last night had weird smell and sensation as if I had just done nose spray. Today chest feels odd (not painful) just the way it does after taking Sudafed
Systemic reaction (other): Nose sensation as if I have Kleenex stuffed in each nostril and chest discomfort (not pain)
Systemic reaction (other): Chest feels as if I took Sudafed and nose feels as if I did nose spray.
Release 2 — day 14, dose 1
Symptoms: Unbearable Itching (especially nose)
Release 3 — day 21, dose 1
Symptoms: FatigueItching of nose
Release 3 — day 28, dose 1
Symptoms: Fatigue
Release 4 — day 21, dose 2
Symptoms: Syncope, diaphoresis, fever, vomiting
Release 5 — day 35, dose 2
Symptoms: DepressionPalpitationsNausea
Release 8 — 3 months, dose 2
Symptoms: Severe fatigue has returned along with palpitations and chest pain. In addition a sense of despair.
Release 9 — 6 months, dose 2
Symptoms: Chronic unilateral sore throat and lower extremity bone pain.
Healthcare visit (other): Tests upcoming
Release 11 — 12 months, dose 2
Symptoms: Death of a second fingernail without any trauma
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Bone pain | ✓ | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Depression | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Nasal pruritus | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Onychomadesis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release