4YK-16127-61064
3 vaccinations
7 coded responses
35 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 486 / MI
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Moderna
-
2021-03-17
Registered in v-safe
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia oral, Immediate post-injection reaction, Pharyngeal hypoaesthesia — Feeling: GoodFree text: 20 minutes after my first shot I experienced numbness on my tongue way in the back of my throat it was only on one side. It felt similar to when you get a filling at the dentist office it lasted 20-30 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-13
Dose 2 — Moderna
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-21
- 2021-04-27
- 2021-05-04
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2021-05-11
Survey response — day 28, dose 2MedDRA: Fatigue, Hyperhidrosis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Tired today and yesterday. 2 nights ago I woke up all sweaty dont think I had a fever. Had to change my PJs because they were wet with sweat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-07-15
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2021-10-12
Survey response — 6 months, dose 2MedDRA: Office visit, Pain, Sciatica — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I am having problems with my sciatic nerve. I am seeing Chiropractor. I have problems with my right side pain. But I don't think it has anything to do with vaccine. I am just getting older.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Dose 3 — Moderna
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · 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
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
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2021-11-05
Health check-in — day 7, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-12
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2021-11-19
Survey response — day 21, dose 3MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I got a cold with congestion, running nose and sore throat.MedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Survey response — day 28, dose 3MedDRA: Neoplasm malignant — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I was diagnosed with cancerMedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-11-29
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2021-12-03
Survey response — day 35, dose 3MedDRA: Neoplasm malignant — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I was diagnosed with cancer so please stop sending this to me. I know the vaccine has nothing to do with my diagnosis but I don't want to fill this out anymoreMedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
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2021-12-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-29
Survey response — 6 months, dose 3MedDRA: Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I have cancer and side effect from chemotherapyMedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): 20 minutes after my first shot I experienced numbness on my tongue way in the back of my throat it was only on one side. It felt similar to when you get a filling at the dentist office it lasted 20-30 minutes
Release 8 — day 28, dose 2
Symptoms: Tired today and yesterday. 2 nights ago I woke up all sweaty dont think I had a fever. Had to change my PJs because they were wet with sweat.
Release 10 — 6 months, dose 2
Symptoms: I am having problems with my sciatic nerve. I am seeing Chiropractor. I have problems with my right side pain. But I don't think it has anything to do with vaccine. I am just getting older.
Release 10 — day 21, dose 3
Symptoms: I got a cold with congestion, running nose and sore throat.
Release 10 — day 28, dose 3
Symptoms: I was diagnosed with cancer
Release 10 — day 35, dose 3
Symptoms: I was diagnosed with cancer so please stop sending this to me. I know the vaccine has nothing to do with my diagnosis but I don't want to fill this out anymore
Release 11 — 6 months, dose 3
Symptoms: I have cancer and side effect from chemotherapy
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neoplasm malignant | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sciatica | · | · | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pharyngeal hypoaesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release