38U-41258-51737
2 vaccinations
7 coded responses
26 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 366 / AL
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
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2021-02-13
Dose 1 — Moderna
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2021-02-13
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · HeadacheFree text: Injection area sore not painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
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2021-03-06
Survey response — day 21, dose 1MedDRA: Headache — Feeling: GoodFree text: Mild headaches, but nothing bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Dose 2 — Moderna
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2021-03-13
Survey response — day 0, dose 2MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · HeadacheFree text: Head feels fuzzy and light headed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal, Feeling drunk — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessFree text: Light headed And foggy thinking. Similar to a mild hangover. Not that I know how that feels.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Visual impairment — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: I actually have had a little bit of visions issue since the first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-26
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2021-06-12
Survey response — 3 months, dose 2MedDRA: Hot flush, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have breathing issues ever since I was very sick after a cruise at the beginning of all of this. Finally have to have breathing medications. However it was not from vaccine. I have had continue hot flashes since the vaccine. Aside from that I think · Healthcare visit (other): Cardiac and pulmonary specialistsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-12
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-21
- 2021-06-23
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2021-06-29
Call successfulCompleted over the phone
- 2021-09-11
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2022-03-13
Survey response — 12 months, dose 2MedDRA: Muscle disorder, Tendon disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: As time goes by since original shot and booster my muscles and tendons have progressively gotten worse.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Injection area sore not pain
Release 5 — day 21, dose 1
Symptoms: Mild headaches, but nothing bad.
Release 5 — day 0, dose 2
Systemic reaction (other): Head feels fuzzy and light headed.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed And foggy thinking. Similar to a mild hangover. Not that I know how that feels.
Systemic reaction (other): I actually have had a little bit of visions issue since the first shot.
Release 9 — 3 months, dose 2
Symptoms: I have breathing issues ever since I was very sick after a cruise at the beginning of all of this. Finally have to have breathing medications. However it was not from vaccine. I have had continue hot flashes since the vaccine. Aside from that I think cut off by CDC
Healthcare visit (other): Cardiac and pulmonary specialists
Release 11 — 12 months, dose 2
Symptoms: As time goes by since original shot and booster my muscles and tendons have progressively gotten worse.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Muscle disorder | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Tendon disorder | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling drunk | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release