4LH-69317-44402
1 vaccination
9 coded responses
10 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 381 / TN
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Moderna
-
2021-02-25
Registered in v-safe
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2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Faeces pale, Faeces soft — Feeling: Fair · DiarrheaFree text: Chest tight , poop is soft and light in colorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Feeling jittery, Medical counselling, Paraesthesia oral, Seizure — Feeling: Poor · Nausea, Diarrhea · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Mild seizure, Tingling mouth/tongue, jittery · Healthcare visit (other): With neurologist by telephone. I was never asked about my first day after the shot. I am not sure how to record those side effects.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Feeling jittery — Feeling: Fair · Headache, Nausea, Abdominal painFree text: Little jittery. I definitely think all this is related to the vaccine. I thought they would go away by now. Anything I can do to resolve these effects. I dont know if I can take second shot. I am worried what second shot will do to me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Faeces pale, Seizure, Tremor — Feeling: Poor · Headache, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Shaking, tremors, seizures - please advise who to notify and what I can do to help this. There are other people too when I googled. My stool is light colored. I had annual exam and perfect blood work week before this vaccine. I never questioned the vaccine. I cannot imagine taking second shot. I am happy to release my medical records. I started taking Xanax to try to help. I need advice.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · NauseaFree text: Dizzy/light headed - other side effects are betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Vision blurred — Feeling: Poor · Be unable to workFree text: Dizzy, blurred visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — day 7, dose 1MedDRA: Chest pain, Office visit, Pain — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Chest pain radiates to my back · Healthcare visit (other): Dr officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-26
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2021-08-25
Survey response — 6 months, dose 1MedDRA: Gastrointestinal inflammation, Headache, Muscle twitching — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Inflamed GI track, headaches, still muscle twitches,MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
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2021-08-31
Call successfulCompleted over the phone
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2022-02-25
Survey response — 12 months, dose 1MedDRA: Headache, Muscle twitching, Nervousness, Pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Headaches, nervousness and muscle twitches on and off. Body itches that move around to different spots that I didn't have before.MedDRA releases: 2024-11 · check-in free text available
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2022-02-25
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-28
- 2022-03-01
- 2022-03-01
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2022-03-01
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 4
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Chest tight , poop is soft and light in color
Systemic reaction (other): Mild seizure, Tingling mouth/tongue, jittery
Healthcare visit (other): With neurologist by telephone. I was never asked about my first day after the shot. I am not sure how to record those side effects.
Systemic reaction (other): Little jittery. I definitely think all this is related to the vaccine. I thought they would go away by now. Anything I can do to resolve these effects. I dont know if I can take second shot. I am worried what second shot will do to me.
Systemic reaction (other): Shaking, tremors, seizures - please advise who to notify and what I can do to help this. There are other people too when I googled. My stool is light colored. I had annual exam and perfect blood work week before this vaccine. I never questioned the vaccine. I cannot imagine taking second shot. I am happy to release my medical records. I started taking Xanax to try to help. I need advice.
Systemic reaction (other): Dizzy/light headed - other side effects are better
Systemic reaction (other): Dizzy, blurred vision
Release 5 — day 7, dose 1
Systemic reaction (other): Chest pain radiates to my back
Healthcare visit (other): Dr office
Release 9 — 6 months, dose 1
Symptoms: Inflamed GI track, headaches, still muscle twitches,
Release 11 — 12 months, dose 1
Symptoms: Headaches, nervousness and muscle twitches on and off. Body itches that move around to different spots that I didn't have before.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Gastrointestinal inflammation | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Muscle twitching | ✓ | · | ✓ |
| SD | Nervousness | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Faeces pale | ✓ | ✓ | ✓ |
| SRO | Faeces soft | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Seizure | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release