67Q-18630-55687
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 493 / MI
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Moderna
-
2021-03-30
Registered in v-safe
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2021-03-30
Health check-in — day 7, dose 1Feeling: Good · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-03
- 2021-04-11
-
2021-04-17
Dose 2 — Moderna
- 2021-04-17
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: 99% better!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-22
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2021-04-24
Survey response — day 7, dose 2MedDRA: Migraine — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Suspected migraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — day 14, dose 2MedDRA: Gastrooesophageal reflux disease, Obstructive airways disorder, Vaccine positive rechallenge — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Very bad reflux to the point I almost went to the ER last night because my airway closed for more than a minute. Similar but not as severe happened the night after my first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — day 21, dose 2MedDRA: Arthralgia, Condition aggravated, Feeding disorder, Gastrooesophageal reflux disease, Obstructive airways disorder, Pre-existing disease, Sleep disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Acid reflux woke me up and closed my airway. I have stopped eating everything except oatmeal or green leafy salads, maybe with an egg. joint pain. Pretty sure this is all due to accelerating hyperparathyroidism and its effects on my liver, not vaxMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-19
- 2021-05-23
- 2021-05-29
- 2021-07-17
- 2021-10-16
- 2022-04-18
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2022-04-19
Survey response — 12 months, dose 2MedDRA: Renal pain — Feeling: Fair · Be unable to work or attend school, 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: Right kidney painMedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): 99% better!
Release 7 — day 7, dose 2
Systemic reaction (other): Suspected migraine
Release 8 — day 14, dose 2
Symptoms: Very bad reflux to the point I almost went to the ER last night because my airway closed for more than a minute. Similar but not as severe happened the night after my first shot.
Release 8 — day 21, dose 2
Symptoms: Acid reflux woke me up and closed my airway. I have stopped eating everything except oatmeal or green leafy salads, maybe with an egg. joint pain. Pretty sure this is all due to accelerating hyperparathyroidism and its effects on my liver, not vax
Release 11 — 12 months, dose 2
Symptoms: Right kidney pain
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Feeding disorder | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Obstructive airways disorder | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Renal pain | · | · | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release