622-24826-21719
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 236 / VA
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Malaise — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Malaise, brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: As a high-immune CFIDS PWC, I feel like the shot exacerbated those symptoms. The brain fog has cleared up some but looking forward to better days..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Disturbance in attention — Feeling: Fair · Fatigue or tirednessFree text: Still a bit of trouble focusingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain — Feeling: Fair · Headache, Muscle or body achesFree text: At the end of yesterday, I developed a headache with some body aches, but feel fairly well today.. I'm wondering if that might happen again this evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-28
- 2021-03-05
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2021-03-12
Dose 2 — Moderna
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
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2021-09-13
Survey response — 6 months, dose 2MedDRA: Headache, Office visit, Pain in extremity, Peripheral swelling, Toothache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: A swollen and painful right foot that keeps me from playing tennis. Apparently not broken. probably it just got old A toothache that required an antibiotic, an all consuming headache. · Healthcare visit (other): Office visitsMedDRA releases: 2024-11 · check-in free text available
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2021-09-13
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)
- 2021-09-16
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2021-09-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-03-12
Survey response — 12 months, dose 2MedDRA: Cellulitis, Foot fracture, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cellulitis on top of my right foot. The same foot sustained a break of the fifth metatarsal. It was declared to be healed Jan 3rd. I skied in late Jan by adding foam donuts to protect sore spots. I skied 2 more halfdays this week.MedDRA releases: 2024-11 · check-in free text available
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2022-03-12
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Malaise, brain fog
Systemic reaction (other): As a high-immune CFIDS PWC, I feel like the shot exacerbated those symptoms. The brain fog has cleared up some but looking forward to better days..
Systemic reaction (other): Still a bit of trouble focusing
Systemic reaction (other): At the end of yesterday, I developed a headache with some body aches, but feel fairly well today.. I'm wondering if that might happen again this evening.
Release 9 — 6 months, dose 2
Symptoms: A swollen and painful right foot that keeps me from playing tennis. Apparently not broken. probably it just got old A toothache that required an antibiotic, an all consuming headache.
Healthcare visit (other): Office visits
Release 11 — 12 months, dose 2
Symptoms: Cellulitis on top of my right foot. The same foot sustained a break of the fifth metatarsal. It was declared to be healed Jan 3rd. I skied in late Jan by adding foam donuts to protect sore spots. I skied 2 more halfdays this week.
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 | · | · | ✓ |
| SD | Cellulitis | · | · | ✓ |
| SD | Foot fracture | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Toothache | · | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release