4BF-95085-60766
2 vaccinations
10 coded responses
24 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 370 / TN
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-22
Dose 1 — Moderna
-
2021-02-25
Registered in v-safe
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2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Chills, Erythema, Fatigue, Headache, Night sweats, Pain in extremity, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activitiesFree text: The day after the shot: very sore arm, fever 101.5, headache, chills, extreme fatigue, extreme weakness. Now night sweats, red palms and fingersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-17
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2021-03-22
Survey response — day 28, dose 1MedDRA: Tinnitus — Feeling: GoodFree text: Slight tinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
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2021-04-05
Dose 2 — Moderna
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2021-04-05
Survey response — day 0, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: I had a sinus infection When I went today for the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Flushing — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Face and throat are flushedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Elevated heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Fair · Fatigue or tirednessFree text: Night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-27
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2021-05-03
Survey response — day 28, dose 2MedDRA: Ageusia, Anosmia — Feeling: GoodFree text: Lack of smell and taste worseningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-17
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2021-07-05
Survey response — 3 months, dose 2MedDRA: Anosmia — Feeling: GoodFree text: Continuous loss of smell.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-04
Survey response — 6 months, dose 2MedDRA: Cardiac stress test abnormal, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Abnormal treadmill stress test. · Healthcare visit (other): Angiogram was normalMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-04-08
Survey response — 12 months, dose 2MedDRA: Arthralgia, Muscle spasms, Office visit, Photopsia, Physiotherapy, Vitreous floaters — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: More joint pain and muscle cramps. Eye floaters, light flashes, and black flashes. Maybe it's all attributed to getting older. · Healthcare visit (other): Opthomologist, physical therapistMedDRA releases: 2024-11 · check-in free text available
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2022-04-08
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-12
Call successfulCompleted over the phone
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2022-04-12
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The day after the shot: very sore arm, fever 101.5, headache, chills, extreme fatigue, extreme weakness. Now night sweats, red palms and fingers
Release 6 — day 28, dose 1
Symptoms: Slight tinnitus
Release 6 — day 0, dose 2
Systemic reaction (other): I had a sinus infection When I went today for the vaccine
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Face and throat are flushed
Systemic reaction (other): Elevated heart rate
Systemic reaction (other): Night sweats
Release 8 — day 28, dose 2
Symptoms: Lack of smell and taste worsening
Release 9 — 3 months, dose 2
Symptoms: Continuous loss of smell.
Release 10 — 6 months, dose 2
Release 11 — 12 months, dose 2
Symptoms: More joint pain and muscle cramps. Eye floaters, light flashes, and black flashes. Maybe it's all attributed to getting older.
Healthcare visit (other): Opthomologist, physical therapist
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 | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Ageusia | ✓ | ✓ | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cardiac stress test abnormal | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Photopsia | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Vitreous floaters | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release