4GC-45334-03437
3 vaccinations
6 coded responses
35 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 925 / CA
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
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2021-01-04
Dose 1 — Moderna
- 2021-01-04
-
2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fever · Joint painsAdult check-in
- 2021-01-06
- 2021-01-07
- 2021-01-09
- 2021-01-18
- 2021-01-27
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Leg (hamstrings) cramps/ spasmsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Headache, NauseaAdult check-in
- 2021-02-06
- 2021-02-07
-
2021-02-08
Survey response — day 7, dose 2MedDRA: Head discomfort, Sensation of blood flow — Feeling: Good · Site: Itching · HeadacheFree text: Head pressure and hearing blood pumping. Really strange. It was so loud. Took BP 115/73 pulse 65.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-05-04
- 2021-08-02
-
2021-10-22
Dose 3 — Moderna
-
2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
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2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Redness, Swelling, Itching · Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-10-25
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Gastrointestinal sounds abnormal — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Diarrhea, Abdominal pain · Be unable to work or attend schoolFree text: Loud rumbling GI trackMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Call successfulDoes not wish to fill out VAERS report
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-14
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2021-11-19
Survey response — day 28, dose 3MedDRA: Burning sensation, Cough, Discomfort, Dizziness, Headache, Paraesthesia, Paranasal sinus hypersecretion, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus drainage, headache, coughing, chest congestion, felt a heavy feeling one night while standing like my body sinking or being pulled down was able to call coworker to standby in case I passed out. Pins/needles and burning in hands/armsMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-26
- 2021-11-29
- 2021-12-03
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2022-01-22
Survey response — 3 months, dose 3MedDRA: Balance disorder — Feeling: GoodFree text: Noticed balance issues. When I lean forward or bend over I have to adjust my center of gravity to keep from falling over. This is happening several times a day in recent months. Highly like it's unrelated, but I just noted I'm really concerned now.MedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Survey response — 6 months, dose 3MedDRA: Insomnia, Loss of personal independence in daily activities — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Haven't been sleeping. No matter how exhausted. not as productive as I'm used to being. find everything takes longer and I stay at work 12 - 16 hours to do what I usually do in 8. Really has been like this since Oct/Nov. weird & hard to explain.MedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-04-25
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Leg (hamstrings) cramps/ spasms
Release 3 — day 7, dose 2
Systemic reaction (other): Head pressure and hearing blood pumping. Really strange. It was so loud. Took BP 115/73 pulse 65.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Loud rumbling GI track
Release 10 — day 28, dose 3
Symptoms: Sinus drainage, headache, coughing, chest congestion, felt a heavy feeling one night while standing like my body sinking or being pulled down was able to call coworker to standby in case I passed out. Pins/needles and burning in hands/arms
Release 11 — 3 months, dose 3
Symptoms: Noticed balance issues. When I lean forward or bend over I have to adjust my center of gravity to keep from falling over. This is happening several times a day in recent months. Highly like it's unrelated, but I just noted I'm really concerned now. cut off by CDC
Release 11 — 6 months, dose 3
Symptoms: Haven't been sleeping. No matter how exhausted. not as productive as I'm used to being. find everything takes longer and I stay at work 12 - 16 hours to do what I usually do in 8. Really has been like this since Oct/Nov. weird & hard to explain.
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 | Balance disorder | · | · | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Gastrointestinal sounds abnormal | · | · | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Sensation of blood flow | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release