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
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2021-03-15
Dose 1 — Moderna
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2021-04-19
Registered in v-safe
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2021-04-19
Dose 2 — Moderna
- 2021-04-19
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Swelling clear to my breast and scapula.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: 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 visitFree 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
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2021-04-21
Report sent to call center — days 1–6 daily, 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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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
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2021-04-26
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-05-03
- 2021-05-10
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2021-05-17
Survey response — day 28, dose 2MedDRA: Dyspnoea, Heart rate increased, Loss of personal independence in daily activities — Feeling: FairFree 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
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2021-05-26
Survey response — day 35, dose 2MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Rapid heart rate and shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Survey response — day 42, dose 2MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Rapid heartbeat and shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-19
Survey response — 3 months, dose 2MedDRA: 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 visitFree text: Shortness of breath, rapid heart rate with mild physical exercise. Muscle weakness and soreness, aching joint especially in my ands and feet, fatigueMedDRA releases: 2024-11 · check-in free text available
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2021-07-19
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-26
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2021-10-18
Survey response — 6 months, dose 2MedDRA: Arthralgia, Heart rate increased, Hypercoagulation, Joint swelling, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2022-04-19
Survey response — 12 months, dose 2MedDRA: 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 visitFree 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
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2022-04-19
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling clear to my breast and scapula.
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.
Systemic reaction (other): My whole left side of my body is now swollen even down to my feet.
Release 8 — day 28, dose 2
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
Symptoms: Rapid heart rate and shortness of breath.
Release 8 — day 42, dose 2
Symptoms: Rapid heartbeat and shortness of breath.
Release 9 — 3 months, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Hypercoagulation | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Myopericarditis | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Post-acute COVID-19 syndrome | · | · | ✓ |
| SRO | Breast swelling | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Generalised oedema | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release