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57H-72967-77044

2 vaccinations 12 coded responses 15 check-ins 12 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
731 / OK
Registered
2021-01-05
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Registered in v-safe
  2. 2021-01-05
    Dose 1 — Moderna
  3. 2021-01-05
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal discomfort, Abdominal distension, Musculoskeletal discomfort — Feeling: Poor · Fever · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Free text: Bloating with discomfort in my stomach and mid to lower back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-07
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    no matching call case
  7. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal distension, Anxiety, Back pain, Heart rate increased — Feeling: Poor · Site: Pain · Muscle or body aches, Abdominal pain
    Free text: All day I've had pain in my back between my shoulder blades and the same abdominal bloating as yesterday that seems to not want to go away no matter what I do and a feeling of a rush like anxiety or rapid heart beating
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Acne, Heart rate increased, Pre-existing disease, Weight increased — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Free text: Acne increase, weight gain, rapid heart beat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-09
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  10. 2021-01-20
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Back pain, Burning sensation, Oral herpes, Pre-existing disease, Rash, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair
    Free text: Mild rash on the inside of my thighs and face (butterfly rash), cold sores - mouth, allergy symptoms - runny nose, sneezing, a feeling of congestion in the lungs with burning sensation, arthritis pain in the right shoulder (joint) and lower back.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-02
    Dose 2 — Moderna
  13. 2021-02-09
    Survey response — day 7, dose 2
    MedDRA: Urinary incontinence — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: I had urinary inconvenience 2 days in a row on 2/5/21 and 2/6/21. I woke up and the seat of my underwear was damp with a smell of urine. This has never happened before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-18
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Actually, I notice that I'm literally exhausted every single day by 3 p.m. I can't keep my eyes open without a struggle. Now after I eat anything with high carbs (food), it makes me extremely sleepy and I must take a nap.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-23
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Feeling hot, Night sweats, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Constantly tired, exhausted with trouble staying awake. Very hot most days with nigjt sweats from head to bgg toe.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-02
    Survey response — day 28, dose 2
    MedDRA: Asthenia, Fatigue, Headache, Impaired work ability — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: I have been having consistent headaches and I feel as if something is wrong in my heart like I'm really tired all the time and if it energy that I can't seem to muster up. Today I'm leaving early from work because I just do not feel well at all.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-09
    Survey response — day 35, dose 2
    MedDRA: Back pain, Dyspnoea, Feeling abnormal, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sometimes my lungs feel like they are collapsing; like I can't get enough air to breathe. Also it feels like my eyes are getting more and more blurry, brain fog and lower back pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-16
    Survey response — day 42, dose 2
    MedDRA: Abdominal pain, Eye disorder, Feeling abnormal, Food intolerance, Gastrointestinal inflammation, Sensitisation — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Constant dull abdominal pain and inflammation (intestinal region) and sensitivity 1 week before, during, and after menses. I never had rhis before. I can't eat some of the same foods or supplements anymore. Eyes have gooten worse and more brain fog.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-04
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Hair growth abnormal, Headache — Feeling: Fair
    Free text: I still have increased fatigue and headaches have increased since the first dose. My hair has decreased in growth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-08-03
    Survey response — 6 months, dose 2
    MedDRA: Abdominal pain upper, Cardiac murmur, Dyspnoea, Insomnia, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I was told on 7/21/21, that i had a heart murmur. No doctor has ever told me this during an examination. Also. I awake every morning with a stomach ache. I have shortness of breath, and cannot sleep.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-08-03
    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)
  22. 2021-08-05

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-02Moderna

Call center

2 call center cases

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

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Bloating with discomfort in my stomach and mid to lower back

2021-01-08

Systemic reaction (other): All day I've had pain in my back between my shoulder blades and the same abdominal bloating as yesterday that seems to not want to go away no matter what I do and a feeling of a rush like anxiety or rapid heart beating

2021-01-09

Systemic reaction (other): Acne increase, weight gain, rapid heart beat

Release 2 — day 14, dose 1

2021-01-20

Symptoms: Mild rash on the inside of my thighs and face (butterfly rash), cold sores - mouth, allergy symptoms - runny nose, sneezing, a feeling of congestion in the lungs with burning sensation, arthritis pain in the right shoulder (joint) and lower back.

Release 3 — day 7, dose 2

2021-02-09

Systemic reaction (other): I had urinary inconvenience 2 days in a row on 2/5/21 and 2/6/21. I woke up and the seat of my underwear was damp with a smell of urine. This has never happened before.

Release 4 — day 14, dose 2

2021-02-18

Symptoms: Actually, I notice that I'm literally exhausted every single day by 3 p.m. I can't keep my eyes open without a struggle. Now after I eat anything with high carbs (food), it makes me extremely sleepy and I must take a nap.

Release 4 — day 21, dose 2

2021-02-23

Symptoms: Constantly tired, exhausted with trouble staying awake. Very hot most days with nigjt sweats from head to bgg toe.

Release 4 — day 28, dose 2

2021-03-02

Symptoms: I have been having consistent headaches and I feel as if something is wrong in my heart like I'm really tired all the time and if it energy that I can't seem to muster up. Today I'm leaving early from work because I just do not feel well at all.

Release 5 — day 35, dose 2

2021-03-09

Symptoms: Sometimes my lungs feel like they are collapsing; like I can't get enough air to breathe. Also it feels like my eyes are getting more and more blurry, brain fog and lower back pain.

Release 5 — day 42, dose 2

2021-03-16

Symptoms: Constant dull abdominal pain and inflammation (intestinal region) and sensitivity 1 week before, during, and after menses. I never had rhis before. I can't eat some of the same foods or supplements anymore. Eyes have gooten worse and more brain fog. cut off by CDC

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: I still have increased fatigue and headaches have increased since the first dose. My hair has decreased in growth.

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: I was told on 7/21/21, that i had a heart murmur. No doctor has ever told me this during an examination. Also. I awake every morning with a stomach ache. I have shortness of breath, and cannot sleep.

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
SDAbdominal pain ✓ ✓ ✓
SDAbdominal pain upper ✓ · ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDBurning sensation ✓ ✓ ✓
SDCardiac murmur ✓ · ✓
SDDyspnoea ✓ ✓ ✓
SDEye disorder ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDFood intolerance ✓ ✓ ✓
SDGastrointestinal inflammation ✓ ✓ ✓
SDHair growth abnormal ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDInsomnia ✓ · ✓
SDNight sweats ✓ ✓ ✓
SDOffice visit ✓ · ✓
SDOral herpes ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSensitisation ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SDSomnolence ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SROAbdominal discomfort ✓ ✓ ✓
SROAbdominal distension ✓ ✓ ✓
SROAcne ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROMusculoskeletal discomfort ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUrinary incontinence ✓ ✓ ✓
SROWeight increased ✓ ✓ ✓

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