5W3-68567-81406
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 156 / PA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
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2021-03-18
Survey response — day 0, dose 1MedDRA: Dizziness, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Dizzy, hard to bend/use armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-03
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2021-04-15
Dose 2 — Moderna
- 2021-04-15
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Total insomnia first nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
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2021-05-13
Survey response — day 28, dose 2MedDRA: Body temperature increased, Chills, Tremor — Feeling: GoodFree text: I have had instances of my temperature rising 2 degrees multiple times ever since I had the Moderna vaccine. Also had chills and shaking at various times. This is over the course of 2 months and Im positive it wasnt Covid but the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — day 35, dose 2MedDRA: Pyrexia — Feeling: FairFree text: I have a chronic low grade fever for 2 months ever since Moderna. Note in my entire adult life I have NEVER had a fever even when I had pneumonia and very bad sinus infections. I dont know what to do since doctors know nothing about this vaccine,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-07-17
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2021-10-16
Survey response — 6 months, dose 2MedDRA: Bradycardia, Heart rate irregular — Feeling: Good · 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: Have bradycardia and irregular heartbeat and seeing a cardiologist soon. Not sure if maybe I had Covid in the past and it weakened my heart?MedDRA releases: 2024-11 · check-in free text available
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2021-10-16
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Dizzy, hard to bend/use arm
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Total insomnia first night
Release 8 — day 28, dose 2
Symptoms: I have had instances of my temperature rising 2 degrees multiple times ever since I had the Moderna vaccine. Also had chills and shaking at various times. This is over the course of 2 months and Im positive it wasnt Covid but the vaccine.
Release 8 — day 35, dose 2
Symptoms: I have a chronic low grade fever for 2 months ever since Moderna. Note in my entire adult life I have NEVER had a fever even when I had pneumonia and very bad sinus infections. I dont know what to do since doctors know nothing about this vaccine,
Release 10 — 6 months, dose 2
Symptoms: Have bradycardia and irregular heartbeat and seeing a cardiologist soon. Not sure if maybe I had Covid in the past and it weakened my heart?
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 | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Bradycardia | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release