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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

  1. 2021-03-13
    Dose 1 — Moderna
  2. 2021-03-14
    Registered in v-safe
  3. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myasthenia gravis, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Abdominal pain
    Free text: Appears to be causing a flat of my myasthenia gravis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache
    Adult check-in
  6. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache
    Adult check-in
  7. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia oral — Feeling: Fair · Site: Swelling · Headache
    Free text: Numbness around mouth off and on all day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-20
    Survey response — day 7, dose 1
    MedDRA: Injection site mass, Medical counselling — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Lump at injection site continues to grow! · Healthcare visit (other): Called nurse line. Will call pcp on monday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-20
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-03-27
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-06
    Survey response — day 21, dose 1
    MedDRA: Asthenia — Feeling: Poor · Be unable to work
    Free text: Weak trouble breathing and walking. Think its a glare of my MG
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-10
    Dose 2 — Moderna
  13. 2021-04-10
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Emergency care — Feeling: Fair · Fatigue or tiredness, Nausea
    Free 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
  16. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  17. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  18. 2021-04-17
    Health check-in — day 7, dose 2
    Feeling: Fair · None
    Adult check-in
  19. 2021-04-26
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-05-01
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-05-10
    Survey response — day 28, dose 2
    MedDRA: Myasthenia gravis, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Flare of myasthenia gravis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-26
    Survey response — day 42, dose 2
    MedDRA: Abdominal pain, Telemedicine, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Abdominal pain · Healthcare visit (other): Have called Dr, waiting for reply
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-26
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-07-12
    Survey response — 3 months, dose 2
    MedDRA: Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Heart palpitations
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-07-12
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-07-15
  27. 2021-10-09
    Survey response — 6 months, dose 2
    MedDRA: Atrial fibrillation, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Atrial fib · Healthcare visit (other): Also dr office
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-09
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  29. 2021-10-12
  30. 2022-04-10
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free text: Symptoms: Focal active colitis · Healthcare visit (other): Had to get coloscopy
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-04-10
    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 · Emergency room or emergency department visit · 1 call case(s)
  32. 2022-04-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Moderna
22021-04-10Moderna

Call center

5 call center cases

5 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Appears to be causing a flat of my myasthenia gravis

2021-03-18

Systemic reaction (other): Numbness around mouth off and on all day.

Release 6 — day 7, dose 1

2021-03-20

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

2021-04-06

Symptoms: Weak trouble breathing and walking. Think its a glare of my MG

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Missed reporting, had to go to the ER 4/12 symptoms got so bad.

Release 8 — day 28, dose 2

2021-05-10

Symptoms: Flare of myasthenia gravis

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Abdominal pain
Healthcare visit (other): Have called Dr, waiting for reply

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: Heart palpitations

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Atrial fib
Healthcare visit (other): Also dr office

Release 11 — 12 months, dose 2

2022-04-10

Symptoms: Focal active colitis
Healthcare visit (other): Had to get coloscopy

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
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit · · ✓
HCVOTelemedicine ✓ ✓ ○
HCVOUnevaluable event · · ✓
SDAbdominal pain ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDAtrial fibrillation · · ✓
SDColitis · · ✓
SDMyasthenia gravis ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROMyasthenia gravis ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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