4MX-11403-62654
4 vaccinations
17 coded responses
40 check-ins
17 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 565 / MN
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-01-28
Registered in v-safe
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2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
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2021-02-11
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: A week after my vaccine my arm at the injection site was sore, red, itchy and hard/ swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
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2021-02-25
Dose 2 — Moderna
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2021-02-25
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · HeadacheFree text: Pressure? In my lungs/heart areaMedDRA 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 2MedDRA: Chills — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Intense shiveringMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tinny metallic taste when I'm eating since yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, NauseaAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-11
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2021-03-18
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 28, dose 2MedDRA: Diarrhoea, Headache, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, vertigo, diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 35, dose 2MedDRA: Arthralgia, Asthenia, Constipation, Headache, Lethargy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Low energy, headache, joint pain, constipation, lethargicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-05-27
- 2021-08-26
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2021-11-15
Dose 3 — Moderna
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2022-02-25
Survey response — 12 months, dose 2MedDRA: Dysgeusia, Hypoaesthesia, Hypoaesthesia oral — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Metallic taste in my mouth, some nimble in my lower jaw and inside my mouthMedDRA releases: 2024-11 · check-in free text available
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2022-02-25
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-07
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2022-06-02
Dose 4 — ModernaCo-administered: Shingles
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2022-06-03
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-06-04
Survey response — days 1–6 daily, dose 4MedDRA: Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: I developed joint pain after my 1st booster and remembered that after my 2nd. Makes me somewhat concerned as it hasn't abatedMedDRA releases: 2024-11 · check-in free text available
- 2022-06-05
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2022-06-06
Survey response — days 1–6 daily, dose 4MedDRA: Headache — Feeling: Fair · Joint pains, Fatigue or tirednessFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
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2022-06-07
Survey response — days 1–6 daily, dose 4MedDRA: Headache — Feeling: Good · Joint pains, Fatigue or tirednessFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Survey response — days 1–6 daily, dose 4MedDRA: Poor quality sleep — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I have not been sleeping at all wellMedDRA releases: 2024-11 · check-in free text available
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2022-06-09
Survey response — day 7, dose 4MedDRA: Headache — Feeling: Good · Joint pains, Muscle or body achesFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2022-06-16
- 2022-06-23
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2022-07-01
Survey response — day 28, dose 4MedDRA: Arthralgia, Fatigue, Sleep disorder — Feeling: GoodFree text: Joint pain, fatigue/sleep dysregulationMedDRA releases: 2024-11 · check-in free text available
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2022-07-07
Survey response — day 35, dose 4MedDRA: Arthralgia — Feeling: FairFree text: Joint painMedDRA releases: 2024-11 · check-in free text available
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2022-07-14
Survey response — day 42, dose 4MedDRA: Arthralgia, Fatigue, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Joint pain, sore throat, body pain, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-09-01
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2022-12-01
Survey response — 6 months, dose 4MedDRA: Burning sensation, Oropharyngeal pain — Feeling: FairFree text: Sore throat, burning in rt fingerMedDRA releases: 2024-11 · check-in free text available
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-06-02 | Moderna | Shingles |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 14, dose 1
Symptoms: A week after my vaccine my arm at the injection site was sore, red, itchy and hard/ swollen
Release 4 — day 0, dose 2
Systemic reaction (other): Pressure? In my lungs/heart area
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Intense shivering
Systemic reaction (other): Tinny metallic taste when I'm eating since yesterday
Release 5 — day 21, dose 2
Symptoms: Fatigue
Release 6 — day 28, dose 2
Symptoms: Headache, vertigo, diarrhea
Release 6 — day 35, dose 2
Symptoms: Low energy, headache, joint pain, constipation, lethargic
Release 11 — 12 months, dose 2
Symptoms: Metallic taste in my mouth, some nimble in my lower jaw and inside my mouth
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I developed joint pain after my 1st booster and remembered that after my 2nd. Makes me somewhat concerned as it hasn't abated
Systemic reaction (other): Headache
Systemic reaction (other): Headache
Systemic reaction (other): I have not been sleeping at all well
Release 12 — day 7, dose 4
Systemic reaction (other): Headache
Release 12 — day 28, dose 4
Symptoms: Joint pain, fatigue/sleep dysregulation
Release 12 — day 35, dose 4
Symptoms: Joint pain
Release 12 — day 42, dose 4
Symptoms: Joint pain, sore throat, body pain, fatigue
Release 12 — 6 months, dose 4
Symptoms: Sore throat, burning in rt finger
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Hypoaesthesia oral | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release