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
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2021-04-22
Dose 1 — Moderna
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2021-05-16
Registered in v-safe
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2021-05-16
Survey response — day 21, dose 1MedDRA: 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 activitiesFree 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 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
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2021-05-27
Dose 2 — Moderna
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2021-06-06
Survey response — day 7, dose 2MedDRA: Feeling cold, Hyperhidrosis — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, NauseaFree text: Sweating while coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Survey response — day 14, dose 2MedDRA: Arthralgia, Insomnia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe insomniaJoint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-19
Survey response — day 21, dose 2MedDRA: Insomnia — Feeling: FairFree text: Bad insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-26
Survey response — day 28, dose 2MedDRA: Haemorrhage, Migraine, Mobility decreased, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree 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
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2021-07-01
Survey response — day 35, dose 2MedDRA: Migraine, Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
- 2021-08-26
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2021-11-25
Survey response — 6 months, dose 2MedDRA: 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, HospitalizationFree 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
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2021-11-25
Report sent to call center — 6 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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-01-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Moderna | |
| 2 | 2021-05-27 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — day 21, dose 1
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
Systemic reaction (other): Sweating while cold
Release 9 — day 14, dose 2
Symptoms: Severe insomniaJoint pain
Release 9 — day 21, dose 2
Symptoms: Bad insomnia
Release 9 — day 28, dose 2
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
Symptoms: I have a bad cold (still isolating for 10 days)Bad migraine (weather)
Release 10 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Facet joint block | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Haemorrhage | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Injection | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Lyme disease | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Nerve block | · | · | ✓ |
| SD | Occipital neuralgia | · | · | ✓ |
| SD | Oral surgery | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Spinal fusion surgery | · | · | ✓ |
| SD | Tooth fracture | · | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release