2Y9-80123-36644
3 vaccinations
7 coded responses
22 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 800 / CO
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
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2021-02-02
Registered in v-safe
- 2021-02-02
- 2021-02-04
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2021-02-10
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site rash — Feeling: GoodFree text: Last Friday (10 days after vaccination) I got an ugly red rash at my vaccination site. It was about the size of a baseball. I am sure it must be from the vaccination, but it sure surprised me because I have never had any reaction that long after aMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
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2021-02-24
Dose 2 — Moderna
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2021-02-24
Survey response — day 0, dose 2MedDRA: Somnolence — Feeling: Good · Site: Pain · HeadacheFree text: Not fatigue but very sleepyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Nausea — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, NauseaFree text: Waves of nausea but no vomitingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
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2021-03-03
Survey response — day 7, dose 2MedDRA: Injection site erythema, Muscle spasms — Feeling: Good · Muscle or body achesFree text: Black and blue bruise around injection site about gone. Muscle cramps due to not drinking enough water not the vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — day 14, dose 2MedDRA: Chills, Muscular weakness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Last Friday (9days after vaccination) I had chills and muscle weakness. It just lasted about 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Neoplasm malignant, Office visit — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: During yearly physical tests it was found I have developed stage four cancer during the last 11 months · Healthcare visit (other): Appointments with specialist doctorsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
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)
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2021-09-21
Dose 3 — Moderna
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2021-10-25
Survey response — day 28, dose 3MedDRA: Neoplasm malignant, Office visit — 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: Diagnosed with Stage IV cancer. Declined any traditional treatment · Healthcare visit (other): (b)(6) med center consult , PET scans, biopsy, tumor board consult, eycMedDRA releases: 2024-11 · check-in free text available
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2021-10-25
Report sent to call center — day 28, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-26
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2021-10-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-02
- 2021-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-09-21 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 14, dose 1
Symptoms: Last Friday (10 days after vaccination) I got an ugly red rash at my vaccination site. It was about the size of a baseball. I am sure it must be from the vaccination, but it sure surprised me because I have never had any reaction that long after a cut off by CDC
Release 4 — day 0, dose 2
Systemic reaction (other): Not fatigue but very sleepy
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Waves of nausea but no vomiting
Release 5 — day 7, dose 2
Systemic reaction (other): Black and blue bruise around injection site about gone. Muscle cramps due to not drinking enough water not the vaccination
Release 5 — day 14, dose 2
Symptoms: Last Friday (9days after vaccination) I had chills and muscle weakness. It just lasted about 24 hours
Release 9 — 6 months, dose 2
Symptoms: During yearly physical tests it was found I have developed stage four cancer during the last 11 months
Healthcare visit (other): Appointments with specialist doctors
Release 10 — day 28, dose 3
Symptoms: Diagnosed with Stage IV cancer. Declined any traditional treatment
Healthcare visit (other): (b)(6) med center consult , PET scans, biopsy, tumor board consult, eyc
redacted (b)(6)
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 | Office visit | ✓ | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Neoplasm malignant | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release