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49Y-47468-21712

2 vaccinations 8 coded responses 14 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
469 / IN
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-01-14
    Registered in v-safe
  3. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-19
    Survey response — day 7, dose 1
    MedDRA: Injection site pain, Injection site warmth — Feeling: Fair · Site: Itching · Fatigue or tiredness
    Free text: Injection site feels mildly warm and tender when gently pressed...but it is not red.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-09
    Dose 2 — Moderna
  9. 2021-02-09
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  10. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Headache, Oropharyngeal pain, Salivary hypersecretion — 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
    Free text: Headache, Sore throat, extreme salivating in a water bottle, coughing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Dysphagia, Hyperhidrosis, Lymphadenopathy, Oropharyngeal pain, Tooth fracture, Toothache — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Even all my teeth hurt. Sweat so much I changed pajamas 3 times. My clean hair dried stiff with so much salt from sweating. My front tooth has a chip from chattering chills. Hard to swallow with swollen glands and sore throat. I pray future boosters will not have such severe after effects.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: You apparently do not want to know, when you say this expired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Oral herpes, Salivary hypersecretion, Secretion discharge, Swelling face — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Fever blisters lips, nasal inside and outside, swollen nose tip, coughing, excessive mucus and saliva.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-16
    Survey response — day 7, dose 2
    MedDRA: Brain fog, Cough, Dizziness, Dysphagia, Ear pain, Fear, Fear of disease, Feeling abnormal, Heart rate irregular, Incontinence, Malaise, Muscle spasms, Night sweats, Nightmare, Oropharyngeal pain, Stress urinary incontinence, Vision blurred — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Heart rythmn irregular, swallowing difficult.Brain fog, dizziness, muscle spasms at night, nightmares everynight since 2nd shot, sore throat, earache since shot, night sweats, blurred vision, cough so hard causing incontinence, getting scared this sickly feeling will not end. Should not have gotten vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-23
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Chest discomfort, Chest pain, Cough, Diarrhoea, Fatigue, Salivary hypersecretion, Secretion discharge — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Coughing, heaviness on my chest, excess saliva and mucus, pains in right chest, weakness, fatigue, diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-23
    Report sent to call center — day 14, 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)
  18. 2021-08-10
    Survey response — 6 months, dose 2
    MedDRA: Arthropod sting, Cough, Peripheral swelling, Productive cough, Salivary hypersecretion — Feeling: Poor · 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: Wasp or bee sting right hand swelling. Also I still have after Moderna innoculation excessive night coughing from phlegm and saliva.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-08-10
    Report sent to call center — 6 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)
  20. 2021-08-16

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — day 7, dose 1

2021-01-19

Systemic reaction (other): Injection site feels mildly warm and tender when gently pressed...but it is not red.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Headache, Sore throat, extreme salivating in a water bottle, coughing

2021-02-11

Systemic reaction (other): Even all my teeth hurt. Sweat so much I changed pajamas 3 times. My clean hair dried stiff with so much salt from sweating. My front tooth has a chip from chattering chills. Hard to swallow with swollen glands and sore throat. I pray future boosters will not have such severe after effects.

2021-02-13

Systemic reaction (other): You apparently do not want to know, when you say this expired

2021-02-14

Systemic reaction (other): Fever blisters lips, nasal inside and outside, swollen nose tip, coughing, excessive mucus and saliva.

Release 4 — day 7, dose 2

2021-02-16

Systemic reaction (other): Heart rythmn irregular, swallowing difficult.Brain fog, dizziness, muscle spasms at night, nightmares everynight since 2nd shot, sore throat, earache since shot, night sweats, blurred vision, cough so hard causing incontinence, getting scared this sickly feeling will not end. Should not have gotten vaccine

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Coughing, heaviness on my chest, excess saliva and mucus, pains in right chest, weakness, fatigue, diarrhea

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Wasp or bee sting right hand swelling. Also I still have after Moderna innoculation excessive night coughing from phlegm and saliva.

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
SDArthropod sting ✓ · ✓
SDAsthenia ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDPeripheral swelling ✓ · ✓
SDProductive cough ✓ · ✓
SDSalivary hypersecretion ✓ ✓ ✓
SDSecretion discharge ✓ ✓ ✓
SROBrain fog ✓ · ✓
SROChills ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODysphagia ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROFear ✓ · ✓
SROFear of disease ○ ✓ ○
SROFeeling abnormal ○ ✓ ○
SROHeadache ✓ ✓ ✓
SROHeart rate irregular ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROIncontinence ○ ✓ ○
SROInjection site pain ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMalaise ✓ · ✓
SROMuscle spasms ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SRONightmare ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROSalivary hypersecretion ✓ ✓ ✓
SROSecretion discharge ✓ ✓ ✓
SROStress urinary incontinence ✓ · ✓
SROSwelling face ✓ ✓ ✓
SROTooth fracture ✓ ✓ ✓
SROToothache ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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