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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

  1. 2021-02-05
    Dose 1 — Moderna
  2. 2021-02-08
    Registered in v-safe
  3. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Pain in extremity — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Feet and ankles hurt in the morning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-12
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-02-19
    Survey response — day 14, dose 1
    MedDRA: 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 visit
    Free text: Body adema, off balance
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-19
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-02-26
    Survey response — day 21, dose 1
    MedDRA: 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 · Hospitalization
    Free 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
  9. 2021-02-26
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-03-11
    Survey response — day 28, dose 1
    MedDRA: 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, Hospitalization
    Free 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
  11. 2021-03-11
    Report sent to call center — day 28, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-03-15
    Survey response — day 35, dose 1
    MedDRA: 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, Hospitalization
    Free 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
  13. 2021-03-15
    Report sent to call center — day 35, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-08-11

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): Feet and ankles hurt in the morning

Release 4 — day 14, dose 1

2021-02-19

Symptoms: Body adema, off balance

Release 4 — day 21, dose 1

2021-02-26

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

2021-03-11

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

2021-03-15

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

FieldPreferred term2021-092023-042024-11
SDAtrial fibrillation ✓ ✓ ✓
SDBalance disorder ✓ ✓ ✓
SDBlood glucose increased ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDConstipation ✓ ✓ ✓
SDEyelid ptosis ✓ ✓ ✓
SDGeneralised oedema ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDHypotension ✓ ✓ ✓
SDInflammation ✓ ✓ ✓
SDOcular hyperaemia ✓ ✓ ✓
SDOedema ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPain in jaw ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release