4M8-14444-63505
5 vaccinations
11 coded responses
66 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 956 / CA
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-19
Dose 1 — Moderna
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2021-02-20
Registered in v-safe
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2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
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2021-03-05
Survey response — day 14, dose 1MedDRA: Rash, Rash pruritic — Feeling: GoodFree text: Had vaccine on February 19. On February 27 developed red, itchy rash on arm where vaccine was administered. Rash has been gradually fading. As of today March 5, rash is almost gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
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2021-03-19
Dose 2 — Moderna
- 2021-03-19
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Elevated heart rate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
- 2021-09-17
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2021-10-25
Dose 3 — Moderna
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased, Nocturia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Frequent urinating at night. Pulse increase: 25 more beats per minute than typical (normal 54 bpm after vaccine 80 bpm).MedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-24
- 2021-11-29
- 2021-12-06
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2022-01-24
Survey response — 3 months, dose 3MedDRA: Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stuff neckMedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Dose 4 — Moderna
- 2022-04-25
- 2022-04-25
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2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: InsomniaMedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
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2022-05-30
Survey response — day 35, dose 4MedDRA: Musculoskeletal stiffness, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stiff neck. Slight fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-06
- 2022-07-25
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2022-09-27
Dose 5 — Moderna
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2022-09-27
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2022-09-28
Survey response — days 1–6 daily, dose 5MedDRA: Blood glucose increased, Heart rate increased, Nocturia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: High blood sugar, increased pulse rate (20-25 beats per minute higher), frequent urination during night.MedDRA releases: 2024-11 · check-in free text available
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2022-09-29
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2022-09-30
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-01
Health check-in — days 1–6 daily, dose 5Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-02
Survey response — days 1–6 daily, dose 5MedDRA: Hypogeusia — Feeling: Good · Fatigue or tirednessFree text: Decreased sense of taste.MedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Survey response — days 1–6 daily, dose 5MedDRA: Hypogeusia — Feeling: GoodFree text: Decreased sense of taste.MedDRA releases: 2024-11 · check-in free text available
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2022-10-04
Survey response — day 7, dose 5MedDRA: Hypogeusia — Feeling: GoodFree text: Decreased sense of taste.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
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2022-12-27
Survey response — 3 months, dose 5MedDRA: Blood pressure increased, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Left leg swelling; increased blood pressureMedDRA releases: 2024-11 · check-in free text available
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2022-12-27
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-12-29
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-09-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 14, dose 1
Symptoms: Had vaccine on February 19. On February 27 developed red, itchy rash on arm where vaccine was administered. Rash has been gradually fading. As of today March 5, rash is almost gone.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Elevated heart rate.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Frequent urinating at night. Pulse increase: 25 more beats per minute than typical (normal 54 bpm after vaccine 80 bpm).
Release 11 — 3 months, dose 3
Symptoms: Stuff neck
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Insomnia
Release 11 — day 35, dose 4
Symptoms: Stiff neck. Slight fever.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): High blood sugar, increased pulse rate (20-25 beats per minute higher), frequent urination during night.
Systemic reaction (other): Decreased sense of taste.
Systemic reaction (other): Decreased sense of taste.
Release 12 — day 7, dose 5
Systemic reaction (other): Decreased sense of taste.
Release 12 — 3 months, dose 5
Symptoms: Left leg swelling; increased blood pressure
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 | Blood pressure increased | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypogeusia | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Nocturia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release