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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

  1. 2021-03-10
    Dose 1 — Moderna
  2. 2021-03-12
    Registered in v-safe
  3. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chronic kidney disease, Neuropathy peripheral, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities
    Free text: I have chronic kidney disease IgA Nephropathy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-03-17
    Survey response — day 7, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-25
    Survey response — day 14, dose 1
    MedDRA: Feeling abnormal, Lethargy — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  7. 2021-04-01
    Survey response — day 21, dose 1
    MedDRA: Back pain, Hypoaesthesia, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities
    Free 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
  8. 2021-04-07
    Dose 2 — Moderna
  9. 2021-04-16
    Survey response — day 7, dose 2
    MedDRA: 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 activities
    Free 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
  10. 2021-04-21
    Survey response — day 14, dose 2
    MedDRA: 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 professional
    Free 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
  11. 2021-04-21
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-07-07
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free text: Continued blood in urine since 2nd Moderna shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-07
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  15. 2021-07-12

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): I have chronic kidney disease IgA Nephropathy

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Sore throat

Release 6 — day 14, dose 1

2021-03-25

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

2021-04-01

Symptoms: Intense numbness in limbs and pain in hands, legs and lower back especially at night.

Release 7 — day 7, dose 2

2021-04-16

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

2021-04-21

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

2021-07-07

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDBlood urine present ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDLethargy ✓ ✓ ✓
SDNeuropathy peripheral ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROChronic kidney disease ✓ ✓ ✓
SROConfusional state ✓ ✓ ✓
SRODisorientation ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROImpaired driving ability ✓ ✓ ✓
SRONeuropathy peripheral ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release