4TJ-31903-08298
2 vaccinations
9 coded responses
10 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 019 / MA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-25
Dose 1 — Moderna
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2021-02-22
Dose 2 — Moderna
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2021-02-24
Registered in v-safe
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Pyrexia — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: Today is day #3. Yesterday was BAD. Never left bed. Chills & fatigue & 101.3 feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body achesAdult check-in
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen GlandsMedDRA 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 2MedDRA: Cough, Secretion discharge — Feeling: Good · Headache, Muscle or body achesFree text: Mucus & some coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 7, dose 2MedDRA: Peripheral swelling — Feeling: Good · Site: Swelling · Muscle or body achesFree text: My injection arm is more swollen all over to other arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — day 14, dose 2MedDRA: Burning sensation, Fatigue, Hot flush, Medical counselling, Menopause, Musculoskeletal stiffness, Nasopharyngitis, Neck pain, Pruritus, Rhinorrhoea — Feeling: GoodFree text: ·Fatigue continues. (2 weeks!)·My neck still hurts & is stiff. I'm under Chiropractic care for it.·Been getting Menopausal Hot Flashes. Have not had ANY in 3 years! My face is burning up 1-2x/day.·2 weeks of cold symptoms. Lots of Mucus. Ears itcMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 21, dose 2MedDRA: Fatigue, Migraine, Muscle tightness, Neck pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had two more migraines since the last check in. That is 3 migraine in 3 weeks. Normally, I would not have 3 migraines in 3 YEARS. My neck remains very tight and still hurts.The fatigue is wearing off finally.MedDRA 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: Migraine, Musculoskeletal stiffness, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Since vaccine #1, I gave now had SEVEN migraine headaches. Five after 2nd dose. My stiff neck continues. My chiropractor can only give me temporary relief. I'm still suffering side effects at six weeks post 2nd dose!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — day 42, dose 2MedDRA: Fatigue, Headache, Migraine, Neck pain, Office visit — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My Migraines & sore neck continue. Has cost me $400+ in chiropractor appointments. My PCP Doctor confirmed & diagnosed cluster migraines caused by vaccine. Tried eliminating certain foods, frequently on 600 ibruprofen, now Flexeril. Dull headache con · Healthcare visit (other): My primary care & migraine specialistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-24
Survey response — 3 months, dose 2MedDRA: Cluster headache, Fatigue, Hypoaesthesia, Muscle tightness, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: My migraines continue at twice a week plus cluster headaches. My fatigue is better, but I still have it! My neck is often tight and my new symptom is my hands are often numb, especially when I'm driving or cooking. · Healthcare visit (other): Migraine Nuerological SpecialistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-01
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Today is day #3. Yesterday was BAD. Never left bed. Chills & fatigue & 101.3 fever
Systemic reaction (other): Swollen Glands
Systemic reaction (other): Mucus & some coughing
Release 4 — day 7, dose 2
Systemic reaction (other): My injection arm is more swollen all over to other arm.
Release 5 — day 14, dose 2
Symptoms: ·Fatigue continues. (2 weeks!)·My neck still hurts & is stiff. I'm under Chiropractic care for it.·Been getting Menopausal Hot Flashes. Have not had ANY in 3 years! My face is burning up 1-2x/day.·2 weeks of cold symptoms. Lots of Mucus. Ears itc cut off by CDC
Release 5 — day 21, dose 2
Symptoms: I had two more migraines since the last check in. That is 3 migraine in 3 weeks. Normally, I would not have 3 migraines in 3 YEARS. My neck remains very tight and still hurts.The fatigue is wearing off finally.
Release 6 — day 35, dose 2
Symptoms: Since vaccine #1, I gave now had SEVEN migraine headaches. Five after 2nd dose. My stiff neck continues. My chiropractor can only give me temporary relief. I'm still suffering side effects at six weeks post 2nd dose!
Release 7 — day 42, dose 2
Symptoms: My Migraines & sore neck continue. Has cost me $400+ in chiropractor appointments. My PCP Doctor confirmed & diagnosed cluster migraines caused by vaccine. Tried eliminating certain foods, frequently on 600 ibruprofen, now Flexeril. Dull headache con cut off by CDC
Healthcare visit (other): My primary care & migraine specialist
Release 8 — 3 months, dose 2
Symptoms: My migraines continue at twice a week plus cluster headaches. My fatigue is better, but I still have it! My neck is often tight and my new symptom is my hands are often numb, especially when I'm driving or cooking.
Healthcare visit (other): Migraine Nuerological Specialist
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Cluster headache | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Menopause | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Secretion discharge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release