637-15502-61572
2 vaccinations
15 coded responses
25 check-ins
15 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 633 / MO
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-03
Registered in v-safe
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2021-03-03
Dose 1 — Moderna
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2021-03-03
Survey response — day 0, dose 1MedDRA: Formication, Paraesthesia oral — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Skin crawling, tingling toungeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Swelling — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My finger joints were swollen upon waking.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia, Paraesthesia oral — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My tounge is tingling again. Also, my feet are tingling now. Have never had these symptoms before vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Feeling abnormal, Nervousness, Paraesthesia, Paraesthesia oral — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I feel strange. My tounge is still tingling and my feet. Feel very nervous but tired. I'm just not myself. Hope this doesn't last long.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — day 7, dose 1MedDRA: Nervousness, Paraesthesia, Paraesthesia oral — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still feeling nervous. Still have tunge and feet tinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — day 14, dose 1MedDRA: Pyrexia — Feeling: FairFree text: I ran a fever on 3/11/21 of 99.5°F for about 24 hours, my normal is 97.4°F. Snice then I have been fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 21, dose 1MedDRA: Breast tenderness, Formication, Paraesthesia, Paraesthesia oral — Feeling: FairFree text: Since vaccination my skin has a tingling/crawling sensation, including my tongue. Have others reported this side effect?Also, not previously reported because I didn't put it together. I had sever breast tenderness, post menopausal, has subsided now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Dose 2 — Moderna
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2021-03-30
Survey response — day 0, dose 2MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mild tingling over bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Dysuria, Micturition urgency, Urinary tract disorder — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesFree text: Burning pain when urinating, urgency to urinate. Gums bleeding when brushing teeth, I have good teeth and gums, twice yearly cleanings.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Formication, Gingival pain, Paraesthesia, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Skin tingling/crawling like with the first shot. Also, my gums aren't bleeding anymore, but they are sore. Gorgot to put tgese in yesterday's report. My RheumatoidArthritisis flaring up. Haven'thad a flare up in at least 5 years. And my last blood work taken 2 days before second shot came back elevated. My number hasnever been this high..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Formication, Micturition urgency, Paraesthesia — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Skin crawling/tingling. Urinary irgence is getting worse again. Just dont feel normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Formication, Gingival pain, Paraesthesia, Rheumatoid arthritis — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Skin crawling/tingling. Gums still sore. RA still flaring up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — day 7, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Same as reported in prior daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
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2021-04-21
Survey response — day 21, dose 2MedDRA: Asthenia, Depression, Fatigue, Pre-existing disease, Rheumatoid arthritis, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My Rheumatoid Arthritis is still flairing up and getting worse. I have no energy, extreme fatigue and depression. It is a chore to shower, I'm weak. This is concerning. How long are these symptoms lasting in others? Can someone please call me? · Healthcare visit (other): Am going to call. Have been eaiting for symptoms to subside. Really, what can they do?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — day 21, 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)
- 2021-04-27
- 2021-05-04
- 2021-05-11
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2021-06-30
Survey response — 3 months, dose 2MedDRA: Fatigue, Office visit, Pre-existing disease — 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 professionalFree text: Symptoms: Extreme fatigue. My RA is flairing up. Feel sick all the time. Should have never got the vaccine. Is this going to last? Can someone please call me? (b)(6) · Healthcare visit (other): In officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Report sent to call center — 3 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)
- 2021-07-02
- 2021-09-28
- 2022-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Skin crawling, tingling tounge
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My finger joints were swollen upon waking.
Systemic reaction (other): My tounge is tingling again. Also, my feet are tingling now. Have never had these symptoms before vaccine.
Systemic reaction (other): I feel strange. My tounge is still tingling and my feet. Feel very nervous but tired. I'm just not myself. Hope this doesn't last long.
Release 5 — day 7, dose 1
Systemic reaction (other): Still feeling nervous. Still have tunge and feet tingling
Release 5 — day 14, dose 1
Symptoms: I ran a fever on 3/11/21 of 99.5°F for about 24 hours, my normal is 97.4°F. Snice then I have been fine.
Release 6 — day 21, dose 1
Symptoms: Since vaccination my skin has a tingling/crawling sensation, including my tongue. Have others reported this side effect?Also, not previously reported because I didn't put it together. I had sever breast tenderness, post menopausal, has subsided now. cut off by CDC
Release 6 — day 0, dose 2
Systemic reaction (other): Mild tingling over body
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Burning pain when urinating, urgency to urinate. Gums bleeding when brushing teeth, I have good teeth and gums, twice yearly cleanings.
Systemic reaction (other): Skin tingling/crawling like with the first shot. Also, my gums aren't bleeding anymore, but they are sore. Gorgot to put tgese in yesterday's report. My RheumatoidArthritisis flaring up. Haven'thad a flare up in at least 5 years. And my last blood work taken 2 days before second shot came back elevated. My number hasnever been this high..
Systemic reaction (other): Skin crawling/tingling. Urinary irgence is getting worse again. Just dont feel normal
Systemic reaction (other): Skin crawling/tingling. Gums still sore. RA still flaring up.
Release 7 — day 7, dose 2
Systemic reaction (other): Same as reported in prior days
Release 7 — day 21, dose 2
Symptoms: My Rheumatoid Arthritis is still flairing up and getting worse. I have no energy, extreme fatigue and depression. It is a chore to shower, I'm weak. This is concerning. How long are these symptoms lasting in others? Can someone please call me?
Healthcare visit (other): Am going to call. Have been eaiting for symptoms to subside. Really, what can they do?
Release 9 — 3 months, dose 2
Symptoms: Extreme fatigue. My RA is flairing up. Feel sick all the time. Should have never got the vaccine. Is this going to last? Can someone please call me? (b)(6)
Healthcare visit (other): In office
redacted (b)(6)
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Breast tenderness | ✓ | ✓ | ✓ |
| SD | Depression | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Formication | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Paraesthesia oral | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rheumatoid arthritis | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dysuria | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Formication | ✓ | ✓ | ✓ |
| SRO | Gingival pain | ✓ | ✓ | ✓ |
| SRO | Micturition urgency | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rheumatoid arthritis | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Urinary tract disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release