4BS-26068-17641
4 vaccinations
10 coded responses
38 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 449 / OH
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
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2021-01-04
Dose 1 — Moderna
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2021-01-04
Survey response — day 0, dose 1MedDRA: Feeling jittery, Pre-existing disease — Feeling: Good · HeadacheFree text: Jittery feeling like I drank a bunch of coffee but I have lupus so weird things happen to meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Neck pain, Systemic lupus erythematosus — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Neck pain swelling in glands but not bad that always shows me my immune system is working overtime due to lupusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Neck pain — Feeling: Good · Site: Pain, Redness, SwellingFree text: Glands swollen and neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
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2021-01-11
Health check-in — day 7, dose 1Feeling: Fair · Chills, Headache, Muscle or body aches, NauseaAdult check-in
- 2021-01-18
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2021-01-25
Survey response — day 21, dose 1MedDRA: Bell's palsy, Emergency care, Gait disturbance, Skin discolouration — 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, HospitalizationFree text: Went in to Er with drooping mouth and left eye also my feet were black and blue and circulation problems they shipped me off to (b)(6) hospital. Bells palsy we thought stroke but no. Having issues walking now and left side weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — day 21, dose 1Be 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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2021-02-01
Dose 2 — Moderna
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2021-02-01
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · HeadacheFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Parosmia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · 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: Strong smell taste of metalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal painAdult check-in
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Chills, Headache, Nausea · Be unable to workAdult check-in
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Tremor — Feeling: Good · Site: Pain, Redness, Swelling, Itching · NauseaFree text: I forgot to report I had tremors on WednesdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
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2021-05-03
Survey response — 3 months, dose 2MedDRA: Cerebrovascular accident — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I am now on oxygen 24/7 and have had mini strokesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
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2021-08-02
Survey response — 6 months, dose 2MedDRA: Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I am now on oxygen 24/7MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-12-03
Dose 3 — Moderna
- 2022-02-01
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2022-03-04
Survey response — 3 months, dose 3MedDRA: Body temperature increased, COVID-19 — Feeling: Fair · Be unable to work or attend schoolFree text: Had Covid light case but fevers lasted couple weeks low grade fevers nothing over 100.1MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Dose 4 — Moderna
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2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Jittery feeling like I drank a bunch of coffee but I have lupus so weird things happen to me
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Neck pain swelling in glands but not bad that always shows me my immune system is working overtime due to lupus
Systemic reaction (other): Glands swollen and neck pain
Release 2 — day 21, dose 1
Symptoms: Went in to Er with drooping mouth and left eye also my feet were black and blue and circulation problems they shipped me off to (b)(6) hospital. Bells palsy we thought stroke but no. Having issues walking now and left side weakness
redacted (b)(6)
Release 3 — day 0, dose 2
Systemic reaction (other): Dizziness
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Strong smell taste of metal
Systemic reaction (other): I forgot to report I had tremors on Wednesday
Release 8 — 3 months, dose 2
Symptoms: I am now on oxygen 24/7 and have had mini strokes
Release 9 — 6 months, dose 2
Symptoms: I am now on oxygen 24/7
Release 11 — 3 months, dose 3
Symptoms: Had Covid light case but fevers lasted couple weeks low grade fevers nothing over 100.1
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 | Bell's palsy | ✓ | ✓ | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release