4AQ-23046-35921
4 vaccinations
9 coded responses
33 check-ins
8 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 883 / NM
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-31
Registered in v-safe
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2021-01-31
Dose 1 — Moderna
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2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-14
- 2021-02-21
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2021-02-28
Dose 2 — Moderna
- 2021-02-28
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Chills, Fatigue or tirednessAdult check-in
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-07
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2021-03-14
Survey response — day 14, dose 2MedDRA: Abdominal distension, Diarrhoea, Feeling abnormal, Flatulence — Feeling: FairFree text: Gas & bloated stomach with some diarrhea & feeling unstable when I walk.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
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2021-03-28
Survey response — day 28, dose 2MedDRA: Ageusia, Anosmia, Decreased appetite, Fatigue, Insomnia — Feeling: GoodFree text: Sleep issues. Loss of smell, taste & appetite. FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — day 35, dose 2MedDRA: Balance disorder — Feeling: GoodFree text: Balance issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
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2021-05-30
Survey response — 3 months, dose 2MedDRA: Abdominal distension, Anxiety, Decreased appetite, Depressed mood, Diarrhoea, Dyspepsia, Gastric disorder, Insomnia, Irritability, Weight decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Feeling depressed & very anxious and irritated, weight loss (6 pounds), no appetite, trouble sleeping, stomach issues off & on (bloating, heartburn, diarrhea)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-30
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-29
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, Anxiety, Depression, Disturbance in attention, Memory impairment, Pre-existing disease, Sleep disorder — Feeling: GoodFree text: Sleep issues, depression, increased anxiety, trouble concentrating, forgetfulness, still no sense of smell or tasteMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-04
Dose 3 — Moderna
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2022-02-28
Survey response — 12 months, dose 2MedDRA: Amnesia, Anxiety, Arthralgia, Balance disorder, Fall, Fatigue, Irritable bowel syndrome, Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Muscle & joint pain, increased anxiety about life & my health, pain in feet, memory loss, balance issues (had several falls), IBS, fatigueMedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Dose 4 — Pfizer-BioNTech
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2022-04-26
Survey response — day 14, dose 4MedDRA: Back pain, Fall, Gait disturbance, Medical counselling, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had another fall so I've had to get home health care to help me. My back, legs & feet hurt and I can barely walk. · Healthcare visit (other): Home health careMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Report sent to call center — day 14, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-27
- 2022-04-28
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2022-05-03
Call successfulCompleted over the phone
- 2022-05-04
- 2022-05-11
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2022-05-18
Survey response — day 42, dose 4MedDRA: Ageusia, Anosmia, Decreased appetite, Eczema — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have developed eczema on my hands, thighs & back. Also I now have a prescription for mirtazapine 7.5 because I have been diagnosed with anorexia since I can't eat without any sense of taste or smell.MedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-19
- 2022-07-06
- 2022-10-05
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2023-04-06
Survey response — 12 months, dose 4MedDRA: Fall, Hip surgery, Irritable bowel syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
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2023-04-06
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2023-04-07
Call successfulNot applicable - Accidental Reporting
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2023-04-07
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-02-28 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-04-06 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — day 14, dose 2
Symptoms: Gas & bloated stomach with some diarrhea & feeling unstable when I walk.
Release 6 — day 28, dose 2
Symptoms: Sleep issues. Loss of smell, taste & appetite. Fatigue
Release 6 — day 35, dose 2
Symptoms: Balance issues
Release 8 — 3 months, dose 2
Symptoms: Feeling depressed & very anxious and irritated, weight loss (6 pounds), no appetite, trouble sleeping, stomach issues off & on (bloating, heartburn, diarrhea)
Release 9 — 6 months, dose 2
Symptoms: Sleep issues, depression, increased anxiety, trouble concentrating, forgetfulness, still no sense of smell or taste
Release 11 — 12 months, dose 2
Symptoms: Muscle & joint pain, increased anxiety about life & my health, pain in feet, memory loss, balance issues (had several falls), IBS, fatigue
Release 11 — day 14, dose 4
Symptoms: I had another fall so I've had to get home health care to help me. My back, legs & feet hurt and I can barely walk.
Healthcare visit (other): Home health care
Release 11 — day 42, dose 4
Symptoms: I have developed eczema on my hands, thighs & back. Also I now have a prescription for mirtazapine 7.5 because I have been diagnosed with anorexia since I can't eat without any sense of taste or smell.
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 | · | · | ✓ |
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Ageusia | ✓ | ✓ | ✓ |
| SD | Amnesia | · | · | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Depressed mood | ✓ | ✓ | ✓ |
| SD | Depression | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Disturbance in attention | ✓ | · | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Flatulence | ✓ | ✓ | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Gastric disorder | ✓ | ✓ | ✓ |
| SD | Hip surgery | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Irritability | ✓ | ✓ | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Memory impairment | ✓ | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Sleep disorder | ✓ | · | ✓ |
| SD | Weight decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release