4LH-14444-83586
1 vaccination
3 coded responses
5 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 108 / NY
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-31
Dose 1 — Moderna
-
2021-04-06
Registered in v-safe
-
2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Chills, Fatigue, Nausea — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: About 36 hours after the vaccination, I developed nausea, chills, joint pain and fatigue. This lasted roughly 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
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2021-04-30
Survey response — day 28, dose 1MedDRA: Bell's palsy — Feeling: Poor · Be unable to work, 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, Emergency room or emergency department visitFree text: On 4/25/2021, I developed acute Bells Palsy on the left side of my face. My Moderna vaccination was on 3/31/2021. I have temporarily postponed the second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-05
Survey response — day 35, dose 1MedDRA: Bell's palsy, Emergency care, Nausea, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: I received my first dose of Moderna on 3/31/2021. Two days later, I became very ill with fever and nausea for 24 hours. On 4/25/21, I experienced acute Bells palsy - and have delayed the second Moderna vaccination until I finish predinsone · Healthcare visit (other): I was rushed to the ER in an ambulance during the Bells palsy attackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Report sent to call center — day 35, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-12-30
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): About 36 hours after the vaccination, I developed nausea, chills, joint pain and fatigue. This lasted roughly 24 hours
Release 8 — day 28, dose 1
Symptoms: On 4/25/2021, I developed acute Bells Palsy on the left side of my face. My Moderna vaccination was on 3/31/2021. I have temporarily postponed the second dose.
Release 8 — day 35, dose 1
Symptoms: I received my first dose of Moderna on 3/31/2021. Two days later, I became very ill with fever and nausea for 24 hours. On 4/25/21, I experienced acute Bells palsy - and have delayed the second Moderna vaccination until I finish predinsone
Healthcare visit (other): I was rushed to the ER in an ambulance during the Bells palsy attack
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 | Bell's palsy | ✓ | ✓ | ✓ |
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| SD | Bell's palsy | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release