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
-
2021-01-12
Dose 1 — Moderna
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2021-01-14
Registered in v-safe
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-18
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2021-01-19
Survey response — day 7, dose 1MedDRA: Injection site pain, Injection site warmth — Feeling: Fair · Site: Itching · Fatigue or tirednessFree 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
- 2021-01-26
- 2021-02-02
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2021-02-09
Dose 2 — Moderna
- 2021-02-09
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Headache, Sore throat, extreme salivating in a water bottle, coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: You apparently do not want to know, when you say this expiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
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2021-02-16
Survey response — day 7, dose 2MedDRA: 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 activitiesFree 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 vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — day 14, dose 2MedDRA: 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 visitFree text: Coughing, heaviness on my chest, excess saliva and mucus, pains in right chest, weakness, fatigue, diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Report sent to call center — day 14, 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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2021-08-10
Survey response — 6 months, dose 2MedDRA: 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 visitFree 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
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2021-08-10
Report sent to call center — 6 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)
- 2021-08-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — day 7, dose 1
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
Systemic reaction (other): Headache, Sore throat, extreme salivating in a water bottle, coughing
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.
Systemic reaction (other): You apparently do not want to know, when you say this expired
Systemic reaction (other): Fever blisters lips, nasal inside and outside, swollen nose tip, coughing, excessive mucus and saliva.
Release 4 — day 7, dose 2
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
Symptoms: Coughing, heaviness on my chest, excess saliva and mucus, pains in right chest, weakness, fatigue, diarrhea
Release 9 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthropod sting | ✓ | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | · | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | Salivary hypersecretion | ✓ | ✓ | ✓ |
| SD | Secretion discharge | ✓ | ✓ | ✓ |
| SRO | Brain fog | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Fear | ✓ | · | ✓ |
| SRO | Fear of disease | ○ | ✓ | ○ |
| SRO | Feeling abnormal | ○ | ✓ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Incontinence | ○ | ✓ | ○ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | · | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Nightmare | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Salivary hypersecretion | ✓ | ✓ | ✓ |
| SRO | Secretion discharge | ✓ | ✓ | ✓ |
| SRO | Stress urinary incontinence | ✓ | · | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Tooth fracture | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release