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4FE-25493-02494

2 vaccinations 7 coded responses 9 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
194 / PA
Registered
2021-05-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-22
    Dose 1 — Moderna
  2. 2021-05-16
    Registered in v-safe
  3. 2021-05-16
    Survey response — day 21, dose 1
    MedDRA: Chills, Condition aggravated, Fatigue, Headache, Hyperhidrosis, Lyme disease, Migraine, Nausea, Pain, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: I have chronic Lyme. Had an off week after 1st vax, vague symptoms (more tired, 1 bad migraine; minor increase of baseline).5/3: abnormal profuse sweating, headaches, fatigue, chills, aches & nausea for 5 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-20
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-05-27
    Dose 2 — Moderna
  6. 2021-06-06
    Survey response — day 7, dose 2
    MedDRA: Feeling cold, Hyperhidrosis — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Nausea
    Free text: Sweating while cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-10
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Insomnia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Severe insomniaJoint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-19
    Survey response — day 21, dose 2
    MedDRA: Insomnia — Feeling: Fair
    Free text: Bad insomnia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-26
    Survey response — day 28, dose 2
    MedDRA: Haemorrhage, Migraine, Mobility decreased, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Very bad migraine - realised I've had 4 since 1st vaccine shot. Lasted 2+ days, sent me to bed. Avg ~4 - 6 very bad migraines per year.Spotting(/bleeding) - for second time. I don't get periods. (Depo provera for endometriosis)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-07-01
    Survey response — day 35, dose 2
    MedDRA: Migraine, Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I have a bad cold (still isolating for 10 days)Bad migraine (weather)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-08-26
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-11-25
    Survey response — 6 months, dose 2
    MedDRA: Facet joint block, Injection, Nerve block, Occipital neuralgia, Oral surgery, Spinal fusion surgery, Tooth fracture — Feeling: Fair · 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, Hospitalization
    Free text: Broken tooth & mouth surgery (Oct) Cervical spinal fusion (August) Dx of occiptal neuralgia, trigger point injections & C2 nerve block & C2-3 facet block (Sept-Oct)
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-11-25
    Report sent to call center — 6 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
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  14. 2022-01-13

Vaccinations

DoseDateManufacturerCo-administered
12021-04-22Moderna
22021-05-27Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — day 21, dose 1

2021-05-16

Symptoms: I have chronic Lyme. Had an off week after 1st vax, vague symptoms (more tired, 1 bad migraine; minor increase of baseline).5/3: abnormal profuse sweating, headaches, fatigue, chills, aches & nausea for 5 days

Release 8 — day 7, dose 2

2021-06-06

Systemic reaction (other): Sweating while cold

Release 9 — day 14, dose 2

2021-06-10

Symptoms: Severe insomniaJoint pain

Release 9 — day 21, dose 2

2021-06-19

Symptoms: Bad insomnia

Release 9 — day 28, dose 2

2021-06-26

Symptoms: Very bad migraine - realised I've had 4 since 1st vaccine shot. Lasted 2+ days, sent me to bed. Avg ~4 - 6 very bad migraines per year.Spotting(/bleeding) - for second time. I don't get periods. (Depo provera for endometriosis)

Release 9 — day 35, dose 2

2021-07-01

Symptoms: I have a bad cold (still isolating for 10 days)Bad migraine (weather)

Release 10 — 6 months, dose 2

2021-11-25

Symptoms: Broken tooth & mouth surgery (Oct) Cervical spinal fusion (August) Dx of occiptal neuralgia, trigger point injections & C2 nerve block & C2-3 facet block (Sept-Oct)

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
SDArthralgia ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDFacet joint block · · ✓
SDFatigue ✓ ✓ ✓
SDHaemorrhage ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHyperhidrosis ✓ ✓ ✓
SDInjection · · ✓
SDInsomnia ✓ ✓ ✓
SDLyme disease ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDNerve block · · ✓
SDOccipital neuralgia · · ✓
SDOral surgery · · ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSpinal fusion surgery · · ✓
SDTooth fracture · · ✓
SROFeeling cold ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓

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