4LS-29656-39679
1 vaccination
5 coded responses
7 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-08
Registered in v-safe
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain in extremity — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feet and ankles hurt in the morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-12
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2021-02-19
Survey response — day 14, dose 1MedDRA: Balance disorder, Oedema — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Body adema, off balanceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-26
Survey response — day 21, dose 1MedDRA: Atrial fibrillation, Eyelid ptosis, Generalised oedema, Hospitalisation, Hypotension, Ocular hyperaemia, Pain in extremity, Pain in jaw, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Hospitalized on 23rd. Fever, jaw pain, body edema, one eye red and droopy, AFIB, low blood pressure. Pain down both legs.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 — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-11
Survey response — day 28, dose 1MedDRA: Generalised oedema, Headache, Hospitalisation, Hypotension, Inflammation, Pain — Feeling: Poor · 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 visit, HospitalizationFree text: Discharged from hospital on March 1 with headaches, general edema, and inflammation CRP and in temporal arteries. Retiurned to hospital March 7 with low blood pressure and stayed the night. High CRP, headache, edema, body pain continues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-15
Survey response — day 35, dose 1MedDRA: Blood glucose increased, Condition aggravated, Constipation, Pre-existing disease — Feeling: Poor · 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 visit, HospitalizationFree text: On prednisone 60 mg now because the vaccine kicked up a rheumatory response. Long term. Causing high blood sugar now and constipation issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Report sent to call center — day 35, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna |
Call center
4 call center cases
4 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Feet and ankles hurt in the morning
Release 4 — day 14, dose 1
Symptoms: Body adema, off balance
Release 4 — day 21, dose 1
Symptoms: Hospitalized on 23rd. Fever, jaw pain, body edema, one eye red and droopy, AFIB, low blood pressure. Pain down both legs.
Release 5 — day 28, dose 1
Symptoms: Discharged from hospital on March 1 with headaches, general edema, and inflammation CRP and in temporal arteries. Retiurned to hospital March 7 with low blood pressure and stayed the night. High CRP, headache, edema, body pain continues.
Release 5 — day 35, dose 1
Symptoms: On prednisone 60 mg now because the vaccine kicked up a rheumatory response. Long term. Causing high blood sugar now and constipation issues.
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 | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Eyelid ptosis | ✓ | ✓ | ✓ |
| SD | Generalised oedema | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Hypotension | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SD | Oedema | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release