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
-
2021-01-08
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
- 2021-01-28
- 2021-02-03
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2021-02-05
Dose 2 — Moderna
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2021-02-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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 thisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
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2021-03-05
Survey response — day 28, dose 2MedDRA: 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 professionalFree 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 careMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-14
Survey response — day 35, dose 2MedDRA: 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 professionalFree 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): HospiceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-21
- 2021-08-08
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy
Release 4 — days 1–6 daily, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Hospitalisation | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Hypophagia | ✓ | ✓ | ✓ |
| SD | Immunodeficiency | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release