49L-21467-04353
4 vaccinations
9 coded responses
38 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 958 / CA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Fatigue, Pain in jaw — Feeling: FairFree text: Tiredness. Extreme tiredness. Jaw pain on same side as injection. Probably not related, but who knows for sure?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-11
-
2021-02-16
Dose 2 — Moderna
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-02-20
- 2021-02-21
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Abdominal painAdult check-in
- 2021-02-23
-
2021-03-02
Survey response — day 14, dose 2MedDRA: Neuralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Mandibular and maxillary nerve pain on same side as injection. Has persisted on and off since first vaccine. · Healthcare visit (other): Clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-09
Survey response — day 21, dose 2MedDRA: Fatigue, Office visit, Pain in jaw, Radiculopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Radiculopathy type pain upper and lower jawExtreme tiredness · Healthcare visit (other): And DentistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
-
2021-03-23
Survey response — day 35, dose 2MedDRA: Neuralgia, Office visit, Pain in jaw, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Jaw /tooth pain. Deep nerve type pain. Checked out by dentist....no dental issues causing this pain. Started after 2nd Moderna vaccine. · Healthcare visit (other): PCP clinic snd dentist visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-30
- 2021-05-18
- 2021-08-17
- 2021-09-22
-
2021-12-15
Dose 3 — Moderna
-
2022-02-17
Survey response — 12 months, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tiredness , extreme fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-07-22
Dose 4 — Moderna
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2022-07-23
Survey response — days 1–6 daily, dose 4MedDRA: Urticaria — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Short bout of urticaria 14 hours after injection, confined to face and neck. No rash.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-06
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2022-08-12
Survey response — day 21, dose 4MedDRA: Brain fog, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue. Extreme fatigue and foggy brain.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-19
-
2022-08-26
Survey response — day 35, dose 4MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Covid +MedDRA releases: 2024-11 · check-in free text available
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2022-09-02
Survey response — day 42, dose 4MedDRA: COVID-19 — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: CovidMedDRA releases: 2024-11 · check-in free text available
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2022-09-02
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-09-06
Call successfulDoes not wish to fill out VAERS report
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2022-09-06
Call successfulDoes not wish to fill out VAERS report
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2022-09-06
Call successfulDoes not wish to fill out VAERS report
-
2022-09-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-21
- 2023-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-12-15 | Moderna | No |
| 4 | 2022-07-22 | Moderna | No |
Call center
4 call center cases
4 successful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 1
Symptoms: Tiredness. Extreme tiredness. Jaw pain on same side as injection. Probably not related, but who knows for sure?
Release 4 — day 14, dose 2
Symptoms: Mandibular and maxillary nerve pain on same side as injection. Has persisted on and off since first vaccine.
Healthcare visit (other): Clinic visit
Release 5 — day 21, dose 2
Symptoms: Radiculopathy type pain upper and lower jawExtreme tiredness
Healthcare visit (other): And Dentist
Release 6 — day 35, dose 2
Symptoms: Jaw /tooth pain. Deep nerve type pain. Checked out by dentist....no dental issues causing this pain. Started after 2nd Moderna vaccine.
Healthcare visit (other): PCP clinic snd dentist visit
Release 11 — 12 months, dose 2
Symptoms: Tiredness , extreme fatigue.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Short bout of urticaria 14 hours after injection, confined to face and neck. No rash.
Release 12 — day 21, dose 4
Symptoms: Fatigue. Extreme fatigue and foggy brain.
Release 12 — day 35, dose 4
Symptoms: Covid +
Release 12 — day 42, dose 4
Symptoms: Covid
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 | Brain fog | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Radiculopathy | ✓ | ✓ | ✓ |
| SD | Toothache | ✓ | ✓ | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release