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YQF-29885-69301

2 vaccinations 3 coded responses 22 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
296 / SC
Registered
2021-03-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-26
    Dose 1 — Moderna
  2. 2021-03-27
    Registered in v-safe
  3. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood pressure increased, Chills, Heart rate increased, Tremor — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Violent shaking chills 14hrs after injection. Marked increase of BP to 182 range and increased pulse to 80's range. I did have an echcardiogram on 3/25/21.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  6. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  7. 2021-04-02
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  8. 2021-04-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-23
    Dose 2 — Moderna
  11. 2021-04-23
    Health check-in — day 0, dose 2
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  12. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea — Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Free text: Explosive diarrhea. What a mess!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · Chills, Headache, Fatigue or tiredness, Nausea
    Adult check-in
  14. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches
    Adult check-in
  16. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches
    Adult check-in
  17. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-04-30
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-05-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-04
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-22
    Survey response — 6 months, dose 2
    MedDRA: Bronchitis, Cough, Fatigue, Respiratory disorder, Respiratory tract congestion, Wheezing — 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 consultation, Outpatient clinic or urgent care clinic visit
    Free text: Unusual for me severe, disabling case of acute bronchitis with severe coughing and wheezing. Have never had such severe respiratory problems. Chest is only beginning to clear now after 2+ months. Also marked persistent fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-22
    Report sent to call center — 6 months, dose 2
    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 visit · 1 call case(s)
  27. 2021-10-27

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-23Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-10-22 Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Violent shaking chills 14hrs after injection. Marked increase of BP to 182 range and increased pulse to 80's range. I did have an echcardiogram on 3/25/21.

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Explosive diarrhea. What a mess!

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Unusual for me severe, disabling case of acute bronchitis with severe coughing and wheezing. Have never had such severe respiratory problems. Chest is only beginning to clear now after 2+ months. Also marked persistent fatigue.

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
SDBronchitis · · ✓
SDCough · · ✓
SDFatigue · · ✓
SDRespiratory disorder · · ✓
SDRespiratory tract congestion · · ✓
SDWheezing · · ✓
SROBlood pressure increased ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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