56D-32880-41779
2 vaccinations
11 coded responses
19 check-ins
11 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 483 / MI
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-25
Registered in v-safe
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2021-02-25
Dose 1 — Moderna
- 2021-02-25
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2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fever · NoneAdult check-in
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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Palpitations — Feeling: Fair · Site: Pain, Swelling · HeadacheFree text: Heart racesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion, Sinus headache — Feeling: Fair · HeadacheFree text: Stuffy headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — day 7, dose 1MedDRA: Heart rate irregular, Palpitations — Feeling: Fair · HeadacheFree text: Irregular heart beat racing heartMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 14, dose 1MedDRA: Headache, Poor quality sleep — Feeling: GoodFree text: Headaches starting at temple to back of skull. Also unable to sleep well at night more than 4 hrMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — day 21, dose 1MedDRA: Fatigue, Headache, Respiratory tract congestion, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Extremely tired, headache and congestion · Healthcare visit (other): Going 3/18/2021MedDRA 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 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-25
Dose 2 — Moderna
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2021-04-01
Health check-in — day 7, dose 2Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Survey response — day 14, dose 2MedDRA: Arthralgia, Mobility decreased, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very bad achy joints and muscle. Hard to lift thingsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 21, dose 2MedDRA: Arthralgia, Inflammation, Myalgia, Office visit — Feeling: Poor · 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: Symptoms: Extreme muscle pain joint aches. This started after first shot and continues to get worse. Ive tele doc 2 times and blood work for inflammatory problems done 4/14/21 · Healthcare visit (other): Blood work upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — day 21, 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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2021-04-22
Survey response — day 28, dose 2MedDRA: Arthralgia, Fatigue, Headache, Malaise, Myalgia, Office visit, Pain of skin — Feeling: Poor · 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: Symptoms: Muscle hurt like hell! Joints hurt like hell! Skin hurts ! Headache everyday! Tired as hell! I feel like hell! Ive been on prednisone, decadron, zanaflex flexeril cipro in case there may be a infection for the entire duration after 2 nd shot! · Healthcare visit (other): Ive been on seen in office blood work ANA now positiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
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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2021-04-29
Survey response — day 35, dose 2MedDRA: Arthralgia, Headache, Myalgia, Office visit, Tremor — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Tremors in hands and legs headache joint and muscle pain · Healthcare visit (other): Dr officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
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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2021-05-06
Survey response — day 42, dose 2MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tremors in my hands. Im still taking steroids for muscle , joint, skin, nerve pain!! Do you even care that I cant even get bro a rheumatologist Because theyre overwhelmed with people like me with all this painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-26
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2021-09-23
Survey response — 6 months, dose 2MedDRA: Arthralgia, Blood test abnormal, Fatigue, Headache, Myalgia, Pain of skin — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My head aches are daily, Im very tired, my blood work is bad. I hurt all over joints skin muscles. Im unable to function as I did prior to vaccine in 3/25/2021 I need answers and cant get any from anyone or appointment with specialist!MedDRA releases: 2024-11 · check-in free text available
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2021-12-29
Call successfulDoes not wish to fill out VAERS report
- 2022-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna |
Call center
4 call center cases
4 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Heart races
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Stuffy head
Release 5 — day 7, dose 1
Systemic reaction (other): Irregular heart beat racing heart
Release 5 — day 14, dose 1
Symptoms: Headaches starting at temple to back of skull. Also unable to sleep well at night more than 4 hr
Release 5 — day 21, dose 1
Symptoms: Extremely tired, headache and congestion
Healthcare visit (other): Going 3/18/2021
Release 7 — day 14, dose 2
Symptoms: Very bad achy joints and muscle. Hard to lift things
Release 7 — day 21, dose 2
Symptoms: Extreme muscle pain joint aches. This started after first shot and continues to get worse. Ive tele doc 2 times and blood work for inflammatory problems done 4/14/21
Healthcare visit (other): Blood work up
Release 7 — day 28, dose 2
Symptoms: Muscle hurt like hell! Joints hurt like hell! Skin hurts ! Headache everyday! Tired as hell! I feel like hell! Ive been on prednisone, decadron, zanaflex flexeril cipro in case there may be a infection for the entire duration after 2 nd shot!
Healthcare visit (other): Ive been on seen in office blood work ANA now positive
Release 8 — day 35, dose 2
Symptoms: Tremors in hands and legs headache joint and muscle pain
Healthcare visit (other): Dr office
Release 8 — day 42, dose 2
Symptoms: Tremors in my hands. Im still taking steroids for muscle , joint, skin, nerve pain!! Do you even care that I cant even get bro a rheumatologist Because theyre overwhelmed with people like me with all this pain
Release 9 — 6 months, dose 2
Symptoms: My head aches are daily, Im very tired, my blood work is bad. I hurt all over joints skin muscles. Im unable to function as I did prior to vaccine in 3/25/2021 I need answers and cant get any from anyone or appointment with specialist!
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Blood test abnormal | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain of skin | ✓ | ✓ | ✓ |
| SD | Poor quality sleep | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | · | ✓ |
| SRO | Sinus headache | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release