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475-55454-78855

2 vaccinations 9 coded responses 14 check-ins 9 free-text entries 3 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
840 / UT
Registered
2021-04-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Dose 1 — Moderna
  2. 2021-04-19
    Registered in v-safe
  3. 2021-04-19
    Dose 2 — Moderna
  4. 2021-04-19
    Health check-in — day 0, dose 2
    Feeling: Fair · Chills, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast swelling, Musculoskeletal pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Swelling clear to my breast and scapula.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast swelling, Chest discomfort, Oedema peripheral, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Heavy feeling in chest and swelling from my elbow to shoulder and into my back and chest. My entire left arm pit and breast is swollen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-21
    Report sent to call center — days 1–6 daily, 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)
  8. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Generalised oedema, Peripheral swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: My whole left side of my body is now swollen even down to my feet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-26
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  11. 2021-05-03
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-05-10
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-05-17
    Survey response — day 28, dose 2
    MedDRA: Dyspnoea, Heart rate increased, Loss of personal independence in daily activities — Feeling: Fair
    Free text: My heartbeat seems to be increasing quite a bot even resting heartrate. And I feel shortness of breath when wven just briskly walking.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-26
    Survey response — day 35, dose 2
    MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Rapid heart rate and shortness of breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-03
    Survey response — day 42, dose 2
    MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Rapid heartbeat and shortness of breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-07-19
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Dyspnoea, Fatigue, Heart rate increased, Muscular weakness, Myalgia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Shortness of breath, rapid heart rate with mild physical exercise. Muscle weakness and soreness, aching joint especially in my ands and feet, fatigue
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-07-19
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  18. 2021-07-26
  19. 2021-10-18
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Heart rate increased, Hypercoagulation, Joint swelling, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Swelling of the foot and ankle on my left side which is my injection side. I am still struggling with strange symptoms like increased heart rates. I had some lab work said have thicker blood now. Puan behind my left knee.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-19
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Malaise, Myopericarditis, Post-acute COVID-19 syndrome, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: I was diagnosed with myopericarditis. I have had issues wver since I got the Moderna vaccine. And I still ended up getting covid and getting very sick. I now also have long covid · Healthcare visit (other): I am also under long term care because of all of this.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-19
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-04-20

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna
22021-04-19Moderna

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Swelling clear to my breast and scapula.

2021-04-21

Systemic reaction (other): Heavy feeling in chest and swelling from my elbow to shoulder and into my back and chest. My entire left arm pit and breast is swollen.

2021-04-22

Systemic reaction (other): My whole left side of my body is now swollen even down to my feet.

Release 8 — day 28, dose 2

2021-05-17

Symptoms: My heartbeat seems to be increasing quite a bot even resting heartrate. And I feel shortness of breath when wven just briskly walking.

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Rapid heart rate and shortness of breath.

Release 8 — day 42, dose 2

2021-06-03

Symptoms: Rapid heartbeat and shortness of breath.

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Shortness of breath, rapid heart rate with mild physical exercise. Muscle weakness and soreness, aching joint especially in my ands and feet, fatigue

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Swelling of the foot and ankle on my left side which is my injection side. I am still struggling with strange symptoms like increased heart rates. I had some lab work said have thicker blood now. Puan behind my left knee.

Release 11 — 12 months, dose 2

2022-04-19

Symptoms: I was diagnosed with myopericarditis. I have had issues wver since I got the Moderna vaccine. And I still ended up getting covid and getting very sick. I now also have long covid
Healthcare visit (other): I am also under long term care because of all of this.

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
HCVOUnevaluable event · · ✓
SDArthralgia · · ✓
SDCOVID-19 · · ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue · · ✓
SDHeart rate increased ✓ ✓ ✓
SDHypercoagulation · · ✓
SDJoint swelling · · ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDMalaise · · ✓
SDMuscular weakness · · ✓
SDMyalgia · · ✓
SDMyopericarditis · · ✓
SDPeripheral swelling · · ✓
SDPost-acute COVID-19 syndrome · · ✓
SROBreast swelling ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROGeneralised oedema ✓ ✓ ✓
SROMusculoskeletal pain ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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