488-72263-01103
2 vaccinations
10 coded responses
21 check-ins
10 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 995 / AK
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-13
Dose 1 — Moderna
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2021-03-14
Registered in v-safe
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Myasthenia gravis, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Abdominal painFree text: Appears to be causing a flat of my myasthenia gravisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia oral — Feeling: Fair · Site: Swelling · HeadacheFree text: Numbness around mouth off and on all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — day 7, dose 1MedDRA: Injection site mass, Medical counselling — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Lump at injection site continues to grow! · Healthcare visit (other): Called nurse line. Will call pcp on mondayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-27
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2021-04-06
Survey response — day 21, dose 1MedDRA: Asthenia — Feeling: Poor · Be unable to workFree text: Weak trouble breathing and walking. Think its a glare of my MGMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Dose 2 — Moderna
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2021-04-10
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Emergency care — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Missed reporting, had to go to the ER 4/12 symptoms got so bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-26
- 2021-05-01
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2021-05-10
Survey response — day 28, dose 2MedDRA: Myasthenia gravis, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Flare of myasthenia gravisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — day 42, dose 2MedDRA: Abdominal pain, Telemedicine, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Abdominal pain · Healthcare visit (other): Have called Dr, waiting for replyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-12
Survey response — 3 months, dose 2MedDRA: Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-12
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-15
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2021-10-09
Survey response — 6 months, dose 2MedDRA: Atrial fibrillation, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Atrial fib · Healthcare visit (other): Also dr officeMedDRA releases: 2024-11 · check-in free text available
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2021-10-09
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-10-12
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2022-04-10
Survey response — 12 months, dose 2MedDRA: Colitis, 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, Emergency room or emergency department visitFree text: Symptoms: Focal active colitis · Healthcare visit (other): Had to get coloscopyMedDRA releases: 2024-11 · check-in free text available
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2022-04-10
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 · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna |
Call center
5 call center cases
5 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Appears to be causing a flat of my myasthenia gravis
Systemic reaction (other): Numbness around mouth off and on all day.
Release 6 — day 7, dose 1
Systemic reaction (other): Lump at injection site continues to grow!
Healthcare visit (other): Called nurse line. Will call pcp on monday
Release 7 — day 21, dose 1
Symptoms: Weak trouble breathing and walking. Think its a glare of my MG
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Missed reporting, had to go to the ER 4/12 symptoms got so bad.
Release 8 — day 28, dose 2
Symptoms: Flare of myasthenia gravis
Release 8 — day 42, dose 2
Release 9 — 3 months, dose 2
Symptoms: Heart palpitations
Release 10 — 6 months, dose 2
Release 11 — 12 months, dose 2
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Telemedicine | ✓ | ✓ | ○ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Colitis | · | · | ✓ |
| SD | Myasthenia gravis | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Myasthenia gravis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release