4VB-21079-24634
2 vaccinations
8 coded responses
14 check-ins
8 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 379 / TN
- Registered
- 2021-07-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-04
Dose 1 — Moderna
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2021-07-02
Dose 2 — Moderna
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2021-07-04
Registered in v-safe
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2021-07-04
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased, Diabetes mellitus, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Blood sugar is higher than normal (Type 2)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-05
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Blood sugar higher than normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-06
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased, Diabetes mellitus, Pre-existing disease — Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Fatigue or tiredness, DiarrheaFree text: Blood sugar still higher than normal (type 2)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, DiarrheaAdult check-in
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2021-07-08
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: Good · Site: Redness, Itching · HeadacheFree text: My fasting Blood Sugar was over 300+ this morning at 10am no food in 12 hours prior. Never has that happened in my life. Feel sure that bloos sugars have been much higher post second shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-09
Survey response — day 7, dose 2MedDRA: Blood glucose increased — Feeling: Good · Site: Itching · HeadacheFree text: Higher blood sugar than normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-16
- 2021-07-23
- 2021-07-30
- 2021-08-07
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2021-08-13
Survey response — day 42, dose 2MedDRA: Fluid retention, Joint swelling, Pain in extremity, Tendon pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Ankles swelling and extreme pain in my achilles and heal areas. Looks like fluid is gatheringMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-01
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2021-12-31
Survey response — 6 months, dose 2MedDRA: Arthralgia, Tendon pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: I continue to have joint and tendon pain. More recently my shoulder pain at times is very difficult to deal with.MedDRA releases: 2024-11 · check-in free text available
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2022-07-02
Survey response — 12 months, dose 2MedDRA: Blood glucose increased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Since I was vaxed my blood sugars continue to rise abnormally. I had to start insulin and OzempicMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-04 | Moderna | No |
| 2 | 2021-07-02 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Blood sugar is higher than normal (Type 2)
Systemic reaction (other): Blood sugar higher than normal
Systemic reaction (other): Blood sugar still higher than normal (type 2)
Systemic reaction (other): My fasting Blood Sugar was over 300+ this morning at 10am no food in 12 hours prior. Never has that happened in my life. Feel sure that bloos sugars have been much higher post second shot
Release 9 — day 7, dose 2
Systemic reaction (other): Higher blood sugar than normal
Release 9 — day 42, dose 2
Symptoms: Ankles swelling and extreme pain in my achilles and heal areas. Looks like fluid is gathering
Release 10 — 6 months, dose 2
Symptoms: I continue to have joint and tendon pain. More recently my shoulder pain at times is very difficult to deal with.
Release 12 — 12 months, dose 2
Symptoms: Since I was vaxed my blood sugars continue to rise abnormally. I had to start insulin and Ozempic
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 | Blood glucose increased | · | · | ✓ |
| SD | Fluid retention | ✓ | · | ✓ |
| SD | Joint swelling | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Tendon pain | ✓ | · | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Diabetes mellitus | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release