5XS-18534-33398
2 vaccinations
4 coded responses
4 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 920 / CA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-02-28
Dose 2 — Moderna
-
2021-04-08
Registered in v-safe
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2021-04-08
Survey response — day 35, dose 2MedDRA: Cardiac disorder, Lymphadenopathy, Medical counselling, Mobility decreased, Myalgia — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: MASSIVE HYPERINFLAMMATORY RESPONSE. Could not do stairs, had to move back downstairs, heart issues - enormously swollen lymph nodes, muscle pain, unable to even walk around the block or lift 2 pounds. · Healthcare visit (other): Also I saw a cardiologist and an ENTMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 35, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-16
Survey response — day 42, dose 2MedDRA: Asthenia, Cardiac disorder, Emergency care, Office visit, Specialist consultation — Feeling: Poor · Be unable to work, 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: Heart problems. Was too weak right after vaccine to even do a stress test - going back next week for · Healthcare visit (other): saw an ENT and cardiologist and went to urgent careMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-30
Survey response — 3 months, dose 2MedDRA: Inflammation, Office visit, Oral mucosal blistering, Pericarditis, Skin exfoliation — 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: Pericarditis, sinus inflammation, mouth blisters, peeling hands and feet · Healthcare visit (other): I had someone drive me to the Cardiologist and ENTMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-30
Report sent to call center — 3 months, 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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2021-08-29
Survey response — 6 months, dose 2MedDRA: Arthralgia, Brain fog, Facial paralysis, Fatigue, Inflammatory bowel disease, Malaise, Mouth ulceration, Myalgia, Nodule, Oral candidiasis, Oral disorder, Pericarditis, Skin exfoliation, Tongue discomfort, Trichoglossia, 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Pericarditis, oral thrush, mouth ulcers, burning tongue, facial distortion, lumps on face and in mouth, brain fog, fatigue, malaise, hairy tongue, muscle/joint pain. Skin growth/peeling on hands and feet. IBDMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
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)
- 2021-10-07
- 2021-10-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-02-28 | Moderna |
Call center
4 call center cases
4 unsuccessful
Free text
Release 7 — day 35, dose 2
Symptoms: MASSIVE HYPERINFLAMMATORY RESPONSE. Could not do stairs, had to move back downstairs, heart issues - enormously swollen lymph nodes, muscle pain, unable to even walk around the block or lift 2 pounds.
Healthcare visit (other): Also I saw a cardiologist and an ENT
Release 7 — day 42, dose 2
Symptoms: Heart problems. Was too weak right after vaccine to even do a stress test - going back next week for
Healthcare visit (other): saw an ENT and cardiologist and went to urgent care
Release 8 — 3 months, dose 2
Symptoms: Pericarditis, sinus inflammation, mouth blisters, peeling hands and feet
Healthcare visit (other): I had someone drive me to the Cardiologist and ENT
Release 9 — 6 months, dose 2
Symptoms: Pericarditis, oral thrush, mouth ulcers, burning tongue, facial distortion, lumps on face and in mouth, brain fog, fatigue, malaise, hairy tongue, muscle/joint pain. Skin growth/peeling on hands and feet. IBD
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 | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | · | ✓ |
| SD | Cardiac disorder | ✓ | ✓ | ✓ |
| SD | Facial paralysis | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Inflammatory bowel disease | ✓ | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Mouth ulceration | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nodule | ✓ | · | ✓ |
| SD | Oral candidiasis | ✓ | · | ✓ |
| SD | Oral disorder | ✓ | · | ✓ |
| SD | Oral mucosal blistering | ✓ | ✓ | ✓ |
| SD | Pericarditis | ✓ | ✓ | ✓ |
| SD | Skin exfoliation | ✓ | ✓ | ✓ |
| SD | Tongue discomfort | ✓ | · | ✓ |
| SD | Trichoglossia | ✓ | · | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release