JVG-28786-48787
4 vaccinations
9 coded responses
16 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 871 / NM
- Registered
- 2022-03-29
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QWU-13928-57962
Child or adolescent in my care · Female · 2022-06-25
Timeline
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2021-01-31
Dose 1 — Moderna
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2021-02-28
Dose 2 — Moderna
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2021-08-25
Dose 3 — Moderna
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2022-03-29
Registered in v-safe
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2022-03-31
Dose 4 — Pfizer-BioNTech
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2022-03-31
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-01
Survey response — days 1–6 daily, dose 4MedDRA: Burning sensation, Chapped lips, Insomnia, Neuralgia, Pain of skin, Tinnitus — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Extreme nerve pain - internally it feels like I'm burning everywhere, and externally it hurts to touch any part of my skin. Also, bad tinnitus. Cracked lips. Inability to sleep.MedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Survey response — days 1–6 daily, dose 4MedDRA: Ageusia, Anosmia, Crying, Dizziness, Oropharyngeal pain, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, dizziness, loss of taste & smell, tingling in toes, cryingMedDRA releases: 2024-11 · check-in free text available
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2022-04-03
Survey response — days 1–6 daily, dose 4MedDRA: Abnormal dreams, Ageusia, Anosmia, Brain fog, Confusional state, Decreased appetite, Dizziness, Dry mouth, Heart rate decreased, Hyperhidrosis, Hypoaesthesia, Nasal congestion, Pain of skin, Peripheral coldness, Tremor — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stuffy nose, low heart rate, dizziness, loss of taste/smell, swearing, shakiness, confusion, brain fog, skin painful to touch, loss of appetite, dry mouth, cold/numb feet and hands, vivid dreamsMedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Survey response — days 1–6 daily, dose 4MedDRA: Confusional state, Dizziness, Muscular weakness, Skin discolouration, Vision blurred — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Dizziness, weak muscles, confusion, blurry vision, purple toes,MedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Survey response — days 1–6 daily, dose 4MedDRA: Anxiety, Dizziness — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Anxiety, dizzinesMedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Survey response — days 1–6 daily, dose 4MedDRA: Bradyphrenia, Confusional state — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Confusion, inability to think clearlyMedDRA releases: 2024-11 · check-in free text available
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2022-04-07
Health check-in — day 7, dose 4Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-14
Survey response — day 14, dose 4MedDRA: Fatigue, Headache, Neck pain, Pain in extremity — Feeling: Fair · 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: Extreme Fatigue Persistent headache Pain in legs Pain in neckMedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Report sent to call center — day 14, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-20
- 2022-04-21
- 2022-04-28
- 2022-05-05
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2022-05-12
Survey response — day 42, dose 4MedDRA: Electric shock sensation, Inflammation, 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 · Telehealth, virtual health, or email health consultationFree text: Pain all over my body. Feels electrical and like inflammation.MedDRA releases: 2024-11 · check-in free text available
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2022-05-12
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-13
- 2022-05-13
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2022-05-13
Callback requested for03:00PM ET
- 2022-06-30
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2022-09-29
Survey response — 6 months, dose 4MedDRA: Ehlers-Danlos syndrome, Physical disability — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Physical problems led to diagnosis of Ehlers Danlos syndromeMedDRA releases: 2024-11 · check-in free text available
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2022-09-29
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-30
- 2022-09-30
- 2022-09-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | No |
| 2 | 2021-02-28 | Moderna | No |
| 3 | 2021-08-25 | Moderna | No |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Extreme nerve pain - internally it feels like I'm burning everywhere, and externally it hurts to touch any part of my skin. Also, bad tinnitus. Cracked lips. Inability to sleep.
Systemic reaction (other): Sore throat, dizziness, loss of taste & smell, tingling in toes, crying
Systemic reaction (other): Stuffy nose, low heart rate, dizziness, loss of taste/smell, swearing, shakiness, confusion, brain fog, skin painful to touch, loss of appetite, dry mouth, cold/numb feet and hands, vivid dreams
Systemic reaction (other): Dizziness, weak muscles, confusion, blurry vision, purple toes,
Systemic reaction (other): Anxiety, dizzines
Systemic reaction (other): Confusion, inability to think clearly
Release 11 — day 14, dose 4
Symptoms: Extreme Fatigue Persistent headache Pain in legs Pain in neck
Release 11 — day 42, dose 4
Symptoms: Pain all over my body. Feels electrical and like inflammation.
Release 12 — 6 months, dose 4
Symptoms: Physical problems led to diagnosis of Ehlers Danlos syndrome
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 | Ehlers-Danlos syndrome | · | · | ✓ |
| SD | Electric shock sensation | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Physical disability | · | · | ✓ |
| SRO | Abnormal dreams | · | · | ✓ |
| SRO | Ageusia | · | · | ✓ |
| SRO | Anosmia | · | · | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Bradyphrenia | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Burning sensation | · | · | ✓ |
| SRO | Chapped lips | · | · | ✓ |
| SRO | Confusional state | · | · | ✓ |
| SRO | Crying | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dry mouth | · | · | ✓ |
| SRO | Heart rate decreased | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Muscular weakness | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain of skin | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Peripheral coldness | · | · | ✓ |
| SRO | Skin discolouration | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
| SRO | Tremor | · | · | ✓ |
| SRO | Vision blurred | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release