4C2-86699-54195
3 vaccinations
10 coded responses
31 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Vaccination site pain — Feeling: Good · Muscle or body achesFree text: Ache in arm of vaccination siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased — Feeling: GoodFree text: Unusually high (170; 169) fasting glucose 2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased, Pre-existing disease — Feeling: GoodFree text: As a Diabetic 2, Ive had elevated glucose numbers 3 days. Friday from 3-10 pm numbers over 260 no reason or changes in my eating or exercise At 10 pm went down to 130 and normal since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
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2021-03-30
Dose 2 — Moderna
- 2021-03-30
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased, Feeling abnormal, Heart rate increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Foggy brain, elevated BP, racing pulseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: Good · Site: PainFree text: Fasting glucose quite elevated 179 this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: Good · Fatigue or tirednessFree text: Glucose still running high 275-300MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased, Heart rate increased — Feeling: FairFree text: Glucose elevated with rapid pulse over 110.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
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2021-04-13
Survey response — day 14, dose 2MedDRA: Gait disturbance, Heart rate increased, Insomnia, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Resting pulse high 100-116. Body aches primarily on feet w/difficulty walking and unable to sleep. Aching lasted from 4/8 - today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 21, dose 2MedDRA: Pain, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still some ache in feet. Today feels like vertigo.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
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2021-05-11
Survey response — day 42, dose 2MedDRA: Pain in extremity — Feeling: FairFree text: Ache in both legs has returned. Have discussed with doctor and will discuss again at next apptMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-29
- 2021-09-28
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2021-10-26
Dose 3 — Moderna
- 2021-10-28
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Ache in arm of vaccination site
Systemic reaction (other): Unusually high (170; 169) fasting glucose 2 days.
Systemic reaction (other): As a Diabetic 2, Ive had elevated glucose numbers 3 days. Friday from 3-10 pm numbers over 260 no reason or changes in my eating or exercise At 10 pm went down to 130 and normal since.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Foggy brain, elevated BP, racing pulse
Systemic reaction (other): Fasting glucose quite elevated 179 this morning.
Systemic reaction (other): Glucose still running high 275-300
Systemic reaction (other): Glucose elevated with rapid pulse over 110.
Release 7 — day 14, dose 2
Symptoms: Resting pulse high 100-116. Body aches primarily on feet w/difficulty walking and unable to sleep. Aching lasted from 4/8 - today.
Release 7 — day 21, dose 2
Symptoms: Still some ache in feet. Today feels like vertigo.
Release 8 — day 42, dose 2
Symptoms: Ache in both legs has returned. Have discussed with doctor and will discuss again at next appt
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 | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Vaccination site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release