54A-25473-48938
3 vaccinations
16 coded responses
21 check-ins
16 free-text entries
10 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 322 / FL
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-12
Registered in v-safe
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2021-01-12
Dose 1 — Moderna
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-15
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-19
Health check-in — day 7, dose 1Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-26
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2021-02-02
Survey response — day 21, dose 1MedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — day 28, dose 1MedDRA: Fatigue — Feeling: GoodFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Dose 2 — Moderna
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams, Asthenia, Decreased appetite, Dizziness, Oropharyngeal pain — Feeling: Poor · Site: Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizziness, very vivid dreams (delirium like), sore throat, loss of appetite, weak.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams — Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very vivid frightening dreams (almost like delirium you get with malaria or typhoid fever).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — day 7, dose 2MedDRA: Abnormal dreams, Fatigue — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Vivid scary dreams. Need to sleep. Extreme fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — day 14, dose 2MedDRA: Abnormal dreams, Decreased appetite, Erythema, Fatigue, Musculoskeletal stiffness, Nausea, Thirst decreased — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Nausa comes in waves, stiff neck, arm used in vaccine is still red, pounding headache, frightening dreams (deletion like in malaria and/or typhoid, continued loss of appetite, lack of thirst, fatigue/tiredness, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
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2021-03-11
Survey response — day 28, dose 2MedDRA: Cough, Dizziness, Nausea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Nausea, dizziness, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Report sent to call center — day 28, 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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2021-03-18
Survey response — day 35, dose 2MedDRA: Cough, Fatigue, Home care, Mucosal discolouration — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Deep cough, green sticky mucus, fatigue, exhaustion · Healthcare visit (other): Home healthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — day 35, 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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2021-03-25
Survey response — day 42, dose 2MedDRA: Dizziness, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Worsening dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — 3 months, dose 2MedDRA: Diabetes mellitus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Diagnosed with Type 2 diabetesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-15
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2021-08-13
Survey response — 6 months, dose 2MedDRA: Arthralgia, Condition aggravated, Injection site pain, Office visit, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, 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: I have complex regional pain syndrome. The 2nd COVID vaccine reacted to my sensitivity and spread the CRPS to my shoulder & arm where the shot was given. I saw my pain doctor about it today. The second injection reacted like an injury & CRPS set in.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-13
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-18
- 2021-08-19
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2021-08-20
Callback requested for10:00 ET
- 2021-08-23
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2021-08-23
Call successfulCompleted over the phone
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2021-08-23
Call successfulCompleted over the phone
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2021-08-23
Call successfulCompleted over the phone
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2021-08-23
Call successfulCompleted over the phone
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2021-11-01
Dose 3 — Moderna
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2021-11-30
Survey response — day 28, dose 3MedDRA: Arthralgia, Burning sensation, Flank pain, Hypoaesthesia, Musculoskeletal pain, Pain in extremity, Pelvic pain, Unevaluable event — 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 · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Feet and legs are like dead- they feel more than numb but at the same time they burn and feel like knives are being stuck in them. From the bottom of my feet to my waist (both front and back of my legs, buttocks, pelvic area affected) · Healthcare visit (other): Lumbar sympathetic blockMedDRA releases: 2024-11 · check-in free text available
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2021-11-30
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-03
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2021-12-06
Survey response — day 35, dose 3MedDRA: Hypoaesthesia, Nerve block, Pain, Pain in extremity — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Dead legs/feet and burning pain and knives have intensified. The lumbar sympathetic block that they tried on Nov. 23, 2021 only brought the pain down for 1 day to a 7 and then it returned to a 10+. I am terrified! I do not know where to turn!MedDRA releases: 2024-11 · check-in free text available
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2021-12-06
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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-06
- 2021-12-09
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2021-12-14
Survey response — day 42, dose 3MedDRA: Arthralgia, Burning sensation, Hypoaesthesia, Musculoskeletal pain, Pain in extremity — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Pain has intensified in my left foot, ankle, leg all the way to waist. My buttocks feels like it has been anesthetized, but across the entire area I have burning and like knives stabbing me.MedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-14
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2022-01-31
Survey response — 3 months, dose 3MedDRA: Hypoaesthesia, Mobility decreased, Pain in extremity — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Pain and numbness in feet and legs is worsening. In the morning, my husband must help me move my legs to get out of bed. It is like they are dead yet excoriating painful at the same time. I fear I will loose the use of them if my doctors do nothingMedDRA releases: 2024-11 · check-in free text available
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2022-01-31
Report sent to call center — 3 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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-01
- 2022-02-02
- 2022-02-03
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2022-02-03
Callback requested for10:00AM ET
- 2022-05-02
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2022-11-02
Survey response — 12 months, dose 3MedDRA: Hypoaesthesia, Pain, Pain in extremity — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: My legs are dead from feet to waist. But not just dead, incredibly, excruciatingly painful! It has gone from bad to worse. I am told by allergist/immunologist not to take another Covid vaccine or booster, nor the new bi-variant.MedDRA releases: 2024-11 · check-in free text available
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2022-11-02
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-11-03
- 2022-11-03
- 2022-11-03
- 2022-11-03
- 2022-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Call center
10 call center cases
4 successful · 5 unsuccessful · 1 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 4
Free text
Release 3 — day 21, dose 1
Symptoms: Cough
Release 3 — day 28, dose 1
Symptoms: Fatigue
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness, very vivid dreams (delirium like), sore throat, loss of appetite, weak.
Systemic reaction (other): Very vivid frightening dreams (almost like delirium you get with malaria or typhoid fever).
Release 4 — day 7, dose 2
Systemic reaction (other): Vivid scary dreams. Need to sleep. Extreme fatigue.
Release 4 — day 14, dose 2
Symptoms: Nausa comes in waves, stiff neck, arm used in vaccine is still red, pounding headache, frightening dreams (deletion like in malaria and/or typhoid, continued loss of appetite, lack of thirst, fatigue/tiredness, etc.
Release 5 — day 28, dose 2
Symptoms: Nausea, dizziness, cough
Release 5 — day 35, dose 2
Symptoms: Deep cough, green sticky mucus, fatigue, exhaustion
Healthcare visit (other): Home health
Release 6 — day 42, dose 2
Symptoms: Worsening dizziness
Release 8 — 3 months, dose 2
Symptoms: Diagnosed with Type 2 diabetes
Release 9 — 6 months, dose 2
Symptoms: I have complex regional pain syndrome. The 2nd COVID vaccine reacted to my sensitivity and spread the CRPS to my shoulder & arm where the shot was given. I saw my pain doctor about it today. The second injection reacted like an injury & CRPS set in. cut off by CDC
Release 10 — day 28, dose 3
Symptoms: Feet and legs are like dead- they feel more than numb but at the same time they burn and feel like knives are being stuck in them. From the bottom of my feet to my waist (both front and back of my legs, buttocks, pelvic area affected)
Healthcare visit (other): Lumbar sympathetic block
Release 10 — day 35, dose 3
Symptoms: Dead legs/feet and burning pain and knives have intensified. The lumbar sympathetic block that they tried on Nov. 23, 2021 only brought the pain down for 1 day to a 7 and then it returned to a 10+. I am terrified! I do not know where to turn!
Release 10 — day 42, dose 3
Symptoms: Pain has intensified in my left foot, ankle, leg all the way to waist. My buttocks feels like it has been anesthetized, but across the entire area I have burning and like knives stabbing me.
Release 11 — 3 months, dose 3
Symptoms: Pain and numbness in feet and legs is worsening. In the morning, my husband must help me move my legs to get out of bed. It is like they are dead yet excoriating painful at the same time. I fear I will loose the use of them if my doctors do nothing cut off by CDC
Release 12 — 12 months, dose 3
Symptoms: My legs are dead from feet to waist. But not just dead, incredibly, excruciatingly painful! It has gone from bad to worse. I am told by allergist/immunologist not to take another Covid vaccine or booster, nor the new bi-variant.
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 | Home care | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abnormal dreams | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Diabetes mellitus | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Injection site pain | ✓ | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Mucosal discolouration | ✓ | ✓ | ✓ |
| SD | Musculoskeletal pain | · | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Nerve block | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pelvic pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Thirst decreased | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release