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
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2021-01-05
Registered in v-safe
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2021-01-05
Dose 1 — Moderna
- 2021-01-05
- 2021-01-06
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Abdominal distension, Musculoskeletal discomfort — Feeling: Poor · Fever · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesFree text: Bloating with discomfort in my stomach and mid to lower backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activitiesno matching call case
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal distension, Anxiety, Back pain, Heart rate increased — Feeling: Poor · Site: Pain · Muscle or body aches, Abdominal painFree 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 beatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree text: Acne increase, weight gain, rapid heart beatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
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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2021-01-20
Survey response — day 14, dose 1MedDRA: Arthralgia, Back pain, Burning sensation, Oral herpes, Pre-existing disease, Rash, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: FairFree 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
- 2021-01-26
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2021-02-02
Dose 2 — Moderna
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2021-02-09
Survey response — day 7, dose 2MedDRA: Urinary incontinence — Feeling: Good · Site: Pain · Muscle or body achesFree 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
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2021-02-18
Survey response — day 14, dose 2MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-02-23
Survey response — day 21, dose 2MedDRA: Fatigue, Feeling hot, Night sweats, Somnolence — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-03-02
Survey response — day 28, dose 2MedDRA: Asthenia, Fatigue, Headache, Impaired work ability — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree 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
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2021-03-09
Survey response — day 35, dose 2MedDRA: Back pain, Dyspnoea, Feeling abnormal, Vision blurred — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-03-16
Survey response — day 42, dose 2MedDRA: Abdominal pain, Eye disorder, Feeling abnormal, Food intolerance, Gastrointestinal inflammation, Sensitisation — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-05-04
Survey response — 3 months, dose 2MedDRA: Fatigue, Hair growth abnormal, Headache — Feeling: FairFree 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
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2021-08-03
Survey response — 6 months, dose 2MedDRA: 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 visitFree 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
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2021-08-03
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna |
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
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Bloating with discomfort in my stomach and mid to lower back
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
Systemic reaction (other): Acne increase, weight gain, rapid heart beat
Release 2 — day 14, dose 1
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
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
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
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
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
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Cardiac murmur | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Eye disorder | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Food intolerance | ✓ | ✓ | ✓ |
| SD | Gastrointestinal inflammation | ✓ | ✓ | ✓ |
| SD | Hair growth abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | · | ✓ |
| SD | Night sweats | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sensitisation | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Acne | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Urinary incontinence | ✓ | ✓ | ✓ |
| SRO | Weight increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release