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EMM-30865-44864

3 vaccinations 14 coded responses 29 check-ins 14 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
983 / WA
Registered
2021-04-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-17
    Registered in v-safe
  2. 2021-04-17
    Dose 1 — Moderna
  3. 2021-04-17
    Survey response — day 0, dose 1
    MedDRA: Blood glucose decreased, Irritability — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea
    Free text: Unexplained irritability, significant drop in blood sugar
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Vision blurred — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Blurred vision
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-08
    Survey response — day 21, dose 1
    MedDRA: Abdominal pain upper, Heavy menstrual bleeding, Lethargy, Polymenorrhoea — Feeling: Good
    Free text: A return of lethargy, and some severe digestional pain. My menstrual cycle was also affected, I think. It was a lot shorter than normal, and heavier. I'm usually extremely regular.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-19
    Dose 2 — Moderna
  12. 2021-05-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  13. 2021-05-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Constipation — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Constipation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-26
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  15. 2021-06-02
    Survey response — day 14, dose 2
    MedDRA: Injection site urticaria, Lethargy — Feeling: Fair
    Free text: I've been super lethargic, and there has been a hive-like rash that has persisted near the injection site. It comes and goes sporadicly.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-23
    Survey response — day 35, dose 2
    MedDRA: Lethargy, Muscle tightness, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Lethargy, muscle tension and soreness. Feels like fibromyalgia symptoms though
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-30
    Survey response — day 42, dose 2
    MedDRA: Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Lots of fatigue, exhaustion, and some dizzy spells. Unsure if these are related, though.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-08-18
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-11-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-28
    Dose 3 — Moderna
  23. 2021-11-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pyrexia, Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Fever, congestion
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-11-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Feeling cold, Feeling hot, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Feverish, and hot/cold spells
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-12-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  26. 2021-12-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good
    Free text: Numbness and tingling in both arms, and worse on the arm I was injected in
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-12-05
    Health check-in — day 7, dose 3
    Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  28. 2021-12-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-19
    Survey response — day 21, dose 3
    MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Major fatigue, sudden and strong. Feels almost like narcolepsy at times. !+hà#
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-01-02
    Survey response — day 35, dose 3
    MedDRA: Chapped lips, Cough, Dysphonia, Fatigue, Headache, Myalgia, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sore throat, dry cough, congestion, runny nose, extreme fatigue, headaches, raspy throat, chapped lips, muscle aches
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-02-27
    Survey response — 3 months, dose 3
    MedDRA: Ageusia, Anosmia, COVID-19, Dyspnoea — Feeling: Good · 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
    Free text: I caught COVID. All typical symptoms including difficulty breathing, no taste or smell, etc.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-02-27
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  34. 2022-03-17
  35. 2022-03-18
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  36. 2022-11-28
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, 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 professional · Telehealth, virtual health, or email health consultation
    Free text: I got covid and long covid-like symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-11-28
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  38. 2022-11-29

Vaccinations

DoseDateManufacturerCo-administered
12021-04-17Moderna
22021-05-19Moderna
32021-11-28Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-17

Systemic reaction (other): Unexplained irritability, significant drop in blood sugar

Release 7 — days 1–6 daily, dose 1

2021-04-18

Systemic reaction (other): Blurred vision

Release 8 — day 21, dose 1

2021-05-08

Symptoms: A return of lethargy, and some severe digestional pain. My menstrual cycle was also affected, I think. It was a lot shorter than normal, and heavier. I'm usually extremely regular.

Release 8 — days 1–6 daily, dose 2

2021-05-25

Systemic reaction (other): Constipation

Release 8 — day 14, dose 2

2021-06-02

Symptoms: I've been super lethargic, and there has been a hive-like rash that has persisted near the injection site. It comes and goes sporadicly.

Release 9 — day 35, dose 2

2021-06-23

Symptoms: Lethargy, muscle tension and soreness. Feels like fibromyalgia symptoms though

Release 9 — day 42, dose 2

2021-06-30

Symptoms: Lots of fatigue, exhaustion, and some dizzy spells. Unsure if these are related, though.

Release 10 — days 1–6 daily, dose 3

2021-11-29

Systemic reaction (other): Fever, congestion

2021-11-30

Systemic reaction (other): Feverish, and hot/cold spells

2021-12-04

Systemic reaction (other): Numbness and tingling in both arms, and worse on the arm I was injected in

Release 10 — day 21, dose 3

2021-12-19

Symptoms: Major fatigue, sudden and strong. Feels almost like narcolepsy at times. !+hà#

Release 10 — day 35, dose 3

2022-01-02

Symptoms: Sore throat, dry cough, congestion, runny nose, extreme fatigue, headaches, raspy throat, chapped lips, muscle aches

Release 11 — 3 months, dose 3

2022-02-27

Symptoms: I caught COVID. All typical symptoms including difficulty breathing, no taste or smell, etc.

Release 12 — 12 months, dose 3

2022-11-28

Symptoms: I got covid and long covid-like symptoms.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper ✓ ✓ ✓
SDAgeusia · · ✓
SDAnosmia · · ✓
SDChapped lips · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDizziness ✓ ✓ ✓
SDDysphonia · · ✓
SDDyspnoea · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDHeavy menstrual bleeding ✓ ✓ ✓
SDInjection site urticaria ✓ ✓ ✓
SDLethargy ✓ ✓ ✓
SDMuscle tightness ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPolymenorrhoea ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SROBlood glucose decreased ✓ ✓ ✓
SROConstipation ✓ ✓ ✓
SROFeeling cold · · ✓
SROFeeling hot · · ✓
SROHypoaesthesia · · ✓
SROIrritability ✓ ✓ ✓
SROParaesthesia · · ✓
SROPyrexia · · ✓
SRORespiratory tract congestion · · ✓
SROVision blurred ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release