4DS-26449-08809
2 vaccinations
7 coded responses
9 check-ins
7 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-10
Dose 1 — Moderna
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2021-03-12
Registered in v-safe
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Chronic kidney disease, Neuropathy peripheral, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: I have chronic kidney disease IgA NephropathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-17
Survey response — day 7, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to workFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 14, dose 1MedDRA: Feeling abnormal, Lethargy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Just felt like I was fighting off a virus or bug all week. No fever but very lethargic, achy, and generally didnt feel normal or well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 21, dose 1MedDRA: Back pain, Hypoaesthesia, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Intense numbness in limbs and pain in hands, legs and lower back especially at night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Dose 2 — Moderna
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2021-04-16
Survey response — day 7, dose 2MedDRA: Arthralgia, Chills, Confusional state, Disorientation, Dizziness, Headache, Immediate post-injection reaction, Impaired driving ability, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: At time of vaccination I had almost immediate dizziness, mental confusion/disorientation, headache. Drove home 2 hrs and first hour was hard to drive and even input dats into gps to get home. 48 hrs of chills, fever, and very very achy joints.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 14, dose 2MedDRA: Neuropathy peripheral, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Extreme neuropathy in arms and hands especially right hand. Had to go to a neurologist and have started taking medications to deal with the pain. · Healthcare visit (other): Neurology in office examination. MRI.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
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)
- 2021-04-28
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2021-07-07
Survey response — 3 months, dose 2MedDRA: Blood urine present — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Continued blood in urine since 2nd Moderna shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-07
Report sent to call center — 3 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)
- 2021-07-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have chronic kidney disease IgA Nephropathy
Release 5 — day 7, dose 1
Systemic reaction (other): Sore throat
Release 6 — day 14, dose 1
Symptoms: Just felt like I was fighting off a virus or bug all week. No fever but very lethargic, achy, and generally didnt feel normal or well.
Release 6 — day 21, dose 1
Symptoms: Intense numbness in limbs and pain in hands, legs and lower back especially at night.
Release 7 — day 7, dose 2
Systemic reaction (other): At time of vaccination I had almost immediate dizziness, mental confusion/disorientation, headache. Drove home 2 hrs and first hour was hard to drive and even input dats into gps to get home. 48 hrs of chills, fever, and very very achy joints.
Release 7 — day 14, dose 2
Symptoms: Extreme neuropathy in arms and hands especially right hand. Had to go to a neurologist and have started taking medications to deal with the pain.
Healthcare visit (other): Neurology in office examination. MRI.
Release 9 — 3 months, dose 2
Symptoms: Continued blood in urine since 2nd Moderna shot.
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 | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Blood urine present | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Chronic kidney disease | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Impaired driving ability | ✓ | ✓ | ✓ |
| SRO | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release