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4WF-18476-43540

4 vaccinations 21 coded responses 39 check-ins 21 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
018 / MA
Registered
2021-02-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-02-14
    Registered in v-safe
  3. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  4. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pyrexia — Feeling: Fair · Nausea
    Free text: Late last night low grade fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills — Feeling: Good · Fatigue or tiredness
    Free text: Deep chills last night with no fever. After a couple of blankets on, went away. This was not at bedtime.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dehydration — Feeling: Good
    Free text: Ive been drinking lots of fluids, but am still dry.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flatulence — Feeling: Good
    Free text: Trapped gas on right side of waist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-13
    Dose 2 — Moderna
  13. 2021-03-13
    Health check-in — day 0, dose 2
    Feeling: Good · Chills
    Adult check-in
  14. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flatulence, Nasal congestion — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Trapped gas last night. Today more than usual nasal congestion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Last night I had the chills for a short while.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site discolouration — Feeling: Good
    Free text: I accidentally whacked the inoculation site against the entrance to a room last night, and today theres some pink around it, but not red. There was nothing there before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Head titubation, Somnolence — Feeling: Good · Fatigue or tiredness
    Free text: Last evening I was nodding off several times while writing something to mail just for a few seconds each time .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Chills, Diarrhea · Be unable to do your normal daily activities
    Free text: My aunt died yesterday on Ireland. I dont usually get the above symptoms when I have a death in the family
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-20
    Survey response — day 7, dose 2
    MedDRA: Diarrhoea, Flatulence — Feeling: Fair · Abdominal pain
    Free text: One loose bowel movement and trapped gas
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-27
    Survey response — day 14, dose 2
    MedDRA: Headache, Nasal congestion, Pain in extremity, Self-medication — Feeling: Good · Be unable to do your normal daily activities
    Free text: On Tuesday eve I had bad pains in my legs, a headache in the back of my head, and some nasal congestion. There was no fever. I took Tylenol. The next morning I was well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-03
    Survey response — day 21, dose 2
    MedDRA: Pain in extremity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: I do have osteoarthritis, but the pain in my right leg seemed worse some days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-10
    Survey response — day 28, dose 2
    MedDRA: Nausea, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free text: I was one of the most sensitive patients that my now retired GP had seen in his 37 years of practice. This being said, this week I had more aches and pains in my legs, especially in my right one, as well as some nausea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-17
    Survey response — day 35, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free text: Aches and pains in arms and legs some days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-24
    Survey response — day 42, dose 2
    MedDRA: Myalgia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: An intensification of muscle aches and pains. However, Id still take the shot. Im seeing my orthopedist on Wednesday. I do have osteoarthritis. Thanks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-11
    Survey response — 6 months, dose 2
    MedDRA: Blood creatinine abnormal, Haematocrit decreased, Haemoglobin decreased, Office visit, Red blood cell count decreased, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Low red blood cells, lower hemoglobin, lower hct, creatine off. UTI. Awaiting results of second round of testing. Possible anemia. I dont know if the vaccine was involved. This has been going on for several weeks. Id still take the shots. · Healthcare visit (other): GPs office
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-09-11
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-09-15
  30. 2021-09-16
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  31. 2021-12-02
    Dose 3 — Moderna
  32. 2022-03-14
    Survey response — 12 months, dose 2
    MedDRA: Back disorder, Office visit, Pre-existing disease, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Lower back issues from spondylolisthesis, not from the booster, but had vertigo 3-4 times after booster. · Healthcare visit (other): Vascular surgeon to check carotid arteries, which were fine
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-03-14
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  34. 2022-03-17
  35. 2022-03-17
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  36. 2022-05-31
    Dose 4 — Moderna
  37. 2022-05-31
    Health check-in — day 0, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  38. 2022-06-01
    Survey response — days 1–6 daily, dose 4
    MedDRA: Skin burning sensation — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Burning skin in calves
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-06-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Redness, Swelling · Joint pains
    Adult check-in
  40. 2022-06-03
    Survey response — days 1–6 daily, dose 4
    MedDRA: Immunisation reaction, Skin discolouration — Feeling: Good · Site: Redness, Swelling · Muscle or body aches
    Free text: My Covid Arm is lightening in colormore pinkish.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-06-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Itching · Joint pains, Muscle or body aches
    Adult check-in
  42. 2022-06-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains
    Adult check-in
  43. 2022-06-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  44. 2022-06-07
    Health check-in — day 7, dose 4
    Feeling: Good · Chills, Muscle or body aches
    Adult check-in
  45. 2022-06-14
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-06-21
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-06-28
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-07-05
    Survey response — day 35, dose 4
    MedDRA: Chills — Feeling: Good
    Free text: Chills
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-07-12
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  50. 2023-05-31
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna
32021-12-02Moderna No
42022-05-31Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): Late last night low grade fever

2021-02-16

Systemic reaction (other): Deep chills last night with no fever. After a couple of blankets on, went away. This was not at bedtime.

2021-02-17

Systemic reaction (other): Ive been drinking lots of fluids, but am still dry.

2021-02-18

Systemic reaction (other): Trapped gas on right side of waist

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Trapped gas last night. Today more than usual nasal congestion.

2021-03-15

Systemic reaction (other): Last night I had the chills for a short while.

2021-03-16

Systemic reaction (other): I accidentally whacked the inoculation site against the entrance to a room last night, and today theres some pink around it, but not red. There was nothing there before.

2021-03-17

Systemic reaction (other): Last evening I was nodding off several times while writing something to mail just for a few seconds each time .

2021-03-18

Systemic reaction (other): No.

2021-03-19

Systemic reaction (other): My aunt died yesterday on Ireland. I dont usually get the above symptoms when I have a death in the family

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): One loose bowel movement and trapped gas

Release 6 — day 14, dose 2

2021-03-27

Symptoms: On Tuesday eve I had bad pains in my legs, a headache in the back of my head, and some nasal congestion. There was no fever. I took Tylenol. The next morning I was well.

Release 6 — day 21, dose 2

2021-04-03

Symptoms: I do have osteoarthritis, but the pain in my right leg seemed worse some days.

Release 7 — day 28, dose 2

2021-04-10

Symptoms: I was one of the most sensitive patients that my now retired GP had seen in his 37 years of practice. This being said, this week I had more aches and pains in my legs, especially in my right one, as well as some nausea.

Release 7 — day 35, dose 2

2021-04-17

Symptoms: Aches and pains in arms and legs some days

Release 7 — day 42, dose 2

2021-04-24

Symptoms: An intensification of muscle aches and pains. However, Id still take the shot. Im seeing my orthopedist on Wednesday. I do have osteoarthritis. Thanks

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Low red blood cells, lower hemoglobin, lower hct, creatine off. UTI. Awaiting results of second round of testing. Possible anemia. I dont know if the vaccine was involved. This has been going on for several weeks. Id still take the shots.
Healthcare visit (other): GPs office

Release 11 — 12 months, dose 2

2022-03-14

Symptoms: Lower back issues from spondylolisthesis, not from the booster, but had vertigo 3-4 times after booster.
Healthcare visit (other): Vascular surgeon to check carotid arteries, which were fine

Release 11 — days 1–6 daily, dose 4

2022-06-01

Systemic reaction (other): Burning skin in calves

2022-06-03

Systemic reaction (other): My Covid Arm is lightening in colormore pinkish.

Release 12 — day 35, dose 4

2022-07-05

Symptoms: Chills

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
HCVOOffice visit · · ✓
SDBack disorder · · ✓
SDBlood creatinine abnormal · · ✓
SDChills · · ✓
SDHaematocrit decreased · · ✓
SDHaemoglobin decreased · · ✓
SDHeadache ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRed blood cell count decreased · · ✓
SDSelf-medication ✓ ✓ ✓
SDUrinary tract infection · · ✓
SDVertigo · · ✓
SROAdverse reaction ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODehydration ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓
SROHead titubation ○ ✓ ○
SROImmunisation reaction · · ✓
SROInjection site discolouration ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSkin burning sensation · · ✓
SROSkin discolouration · · ✓
SROSomnolence ✓ · ✓

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

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