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4XY-15766-85470

2 vaccinations 4 coded responses 15 check-ins 4 free-text entries 3 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
847 / UT
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Chills, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-01-13
    Survey response — day 14, dose 1
    MedDRA: Chills, Diarrhoea — Feeling: Good · Be unable to do your normal daily activities
    Free text: Severe chills and diarrhea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-13
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  12. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-27
    Dose 2 — Moderna
  14. 2021-02-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-03
    Survey response — day 35, dose 2
    MedDRA: Diarrhoea, Fatigue, Rash — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Rash, fatigue, diarrhea, not sure if this is a flare up of some kind. I have had these all in past years.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-29
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Huge fatigue, rash
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-29
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-06-15
  21. 2021-07-28
    Survey response — 6 months, dose 2
    MedDRA: Angiopathy, Office visit, Vitamin B complex deficiency — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: I have blood vessels bursting on my right forearm. This is probably the 13th time it has happened. Same place always. Have seen primary care, dermatology and rheumatology. Low vitamin B found. All else good yet it continues. All started after vaccin
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-07-28
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-08-06
  24. 2021-08-10
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna

Call center

3 call center cases

2 successful · 1 priority 2/3 (triaged and no follow up)

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Severe chills and diarrhea.

Release 4 — day 35, dose 2

2021-03-03

Symptoms: Rash, fatigue, diarrhea, not sure if this is a flare up of some kind. I have had these all in past years.

Release 8 — 3 months, dose 2

2021-04-29

Symptoms: Huge fatigue, rash

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: I have blood vessels bursting on my right forearm. This is probably the 13th time it has happened. Same place always. Have seen primary care, dermatology and rheumatology. Low vitamin B found. All else good yet it continues. All started after vaccin cut off by CDC

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
SDAngiopathy ✓ · ✓
SDChills ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDOffice visit ✓ · ✓
SDRash ✓ ✓ ✓
SDVitamin B complex deficiency ✓ · ✓

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