34L-20357-21832
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 737 / OK
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Immediate post-injection reaction, Insomnia, Malaise, Nausea, Pain, Skin burning sensation, Taste disorder — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: A few hours after receiving my first injection my entire left side felt like it was on fire, making it very difficult to sleep. The next morning I was fine until about 11:00 am, and I began feeling terrible. My entire body ached to the point of tears. If I hadnt had Covid already, I would have thought I did then. This lasted until the next day. The following morning I had the worst taste in my mouth and was nauseous. Felt better as the day progressed. That night(last night) I was very nauseous again. Woke up with the same horrible taste this morning, but have felt fine all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: PainFree text: Every morning since receiving the vaccine I have had a horrible taste in my mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-04
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2021-02-11
Survey response — day 14, dose 1MedDRA: Nausea, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Have randomly been nauseous. One evening had vomiting through the night, but was fine in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
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2021-02-26
Dose 2 — Moderna
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
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2021-03-27
Survey response — day 28, dose 2MedDRA: Cough, Headache, Oropharyngeal pain, Pain — Feeling: FairFree text: Sore throat, cough, headache, body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
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2021-08-30
Survey response — 6 months, dose 2MedDRA: Mobility decreased, Office visit, Pain, Pre-existing disease, Raynaud's phenomenon, Rheumatoid arthritis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Pain from my connective tissue disease (Rheumatoid arthritis, Raynauds, etc) was greatly enhanced. Difficult to move. · Healthcare visit (other): My Rheumatologist was able to help with other medication.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-30
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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2021-09-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): A few hours after receiving my first injection my entire left side felt like it was on fire, making it very difficult to sleep. The next morning I was fine until about 11:00 am, and I began feeling terrible. My entire body ached to the point of tears. If I hadnt had Covid already, I would have thought I did then. This lasted until the next day. The following morning I had the worst taste in my mouth and was nauseous. Felt better as the day progressed. That night(last night) I was very nauseous again. Woke up with the same horrible taste this morning, but have felt fine all day.
Systemic reaction (other): Every morning since receiving the vaccine I have had a horrible taste in my mouth.
Release 4 — day 14, dose 1
Symptoms: Have randomly been nauseous. One evening had vomiting through the night, but was fine in the morning.
Release 6 — day 28, dose 2
Symptoms: Sore throat, cough, headache, body aches
Release 9 — 6 months, dose 2
Symptoms: Pain from my connective tissue disease (Rheumatoid arthritis, Raynauds, etc) was greatly enhanced. Difficult to move.
Healthcare visit (other): My Rheumatologist was able to help with other medication.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Raynaud's phenomenon | ✓ | · | ✓ |
| SD | Rheumatoid arthritis | ✓ | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release