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332-14480-38439

2 vaccinations 4 coded responses 10 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
800 / CO
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-02-05
    Dose 2 — Moderna
  6. 2021-02-05
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Hypersomnia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: This is for my husband. He will not eat or drink any fluids He has slept 99 percent of the time since getting the injection . I hope he will not die of the COVID-19 shot. The CDC needs to know about this
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-28
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-03-05
    Survey response — day 28, dose 2
    MedDRA: Decreased appetite, Hypophagia, Immunodeficiency, Medical counselling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: My husband had a terrible experience with the mederna vaccine. He was in bed for nine days and didnt eat or drink anything. He had a reaction to the injection. His immune system is compromised but I thought he was going to die that week was so bad · Healthcare visit (other): In home care
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-05
    Report sent to call center — day 28, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-03-14
    Survey response — day 35, dose 2
    MedDRA: Hospitalisation, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: The Moderna vaccine almost killed my husband He had a fever and didnt get out of bed for nine days He didnt eat or drink anything and I thought he was going to die He is a little bit better now · Healthcare visit (other): Hospice
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-14
    Report sent to call center — day 35, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-03-21
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-08-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-02-22

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna

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 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Dizzy

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): This is for my husband. He will not eat or drink any fluids He has slept 99 percent of the time since getting the injection . I hope he will not die of the COVID-19 shot. The CDC needs to know about this

Release 5 — day 28, dose 2

2021-03-05

Symptoms: My husband had a terrible experience with the mederna vaccine. He was in bed for nine days and didnt eat or drink anything. He had a reaction to the injection. His immune system is compromised but I thought he was going to die that week was so bad
Healthcare visit (other): In home care

Release 5 — day 35, dose 2

2021-03-14

Symptoms: The Moderna vaccine almost killed my husband He had a fever and didnt get out of bed for nine days He didnt eat or drink anything and I thought he was going to die He is a little bit better now
Healthcare visit (other): Hospice

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
HCVOHospitalisation ✓ ✓ ✓
HCVOMedical counselling ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDHypophagia ✓ ✓ ✓
SDImmunodeficiency ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓

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