2UM-24106-92203
1 vaccination
6 coded responses
11 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 922 / CA
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-03-07
Registered in v-safe
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Disorientation, Emergency care — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Disoriented had to call Paramedics 3/5 · Healthcare visit (other): ParamedicsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Report sent to call center — days 1–6 daily, 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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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: I have brain tumor menangioma non cancer treated and Severe FibromyalgiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Disorientation, Fall, Loss of personal independence in daily activities, Mouth swelling, Walking aid user — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I am concerned about the 2nd vaccine 4/1 I cant go through this again unable to do daily activities due to disoriented and swollen mouth next morning I fell out of bed now needing a walker , weak but a little better eating and waking with walker to bathroom I love alone and need advice regarding 2nd vaccine please help can call this number too please notified my doctor waiting for call back and notified Riteaid Pharmacist please respond regarding vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Fatigue, Malaise — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I want to know if after getting severely sick I have to get shot 2 Im weak, worn out and cant go through this severe time again paramedics etcMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 7, dose 1MedDRA: Asthenia, Loss of personal independence in daily activities — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slowly recovering feeling better but very weak unable to do daily activities need assistanceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
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2021-03-27
Survey response — day 21, dose 1MedDRA: Condition aggravated, Headache, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches and pain muscles and joints more intense due to my FibromyalgiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-15
- 2021-09-04
- 2022-02-13
- 2022-03-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Disoriented had to call Paramedics 3/5
Healthcare visit (other): Paramedics
Systemic reaction (other): I have brain tumor menangioma non cancer treated and Severe Fibromyalgia
Systemic reaction (other): I am concerned about the 2nd vaccine 4/1 I cant go through this again unable to do daily activities due to disoriented and swollen mouth next morning I fell out of bed now needing a walker , weak but a little better eating and waking with walker to bathroom I love alone and need advice regarding 2nd vaccine please help can call this number too please notified my doctor waiting for call back and notified Riteaid Pharmacist please respond regarding vaccine
Systemic reaction (other): I want to know if after getting severely sick I have to get shot 2 Im weak, worn out and cant go through this severe time again paramedics etc
Release 5 — day 7, dose 1
Systemic reaction (other): Slowly recovering feeling better but very weak unable to do daily activities need assistance
Release 6 — day 21, dose 1
Symptoms: Headaches and pain muscles and joints more intense due to my Fibromyalgia
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Fall | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Mouth swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Walking aid user | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release