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ZZU-51661-60540

1 vaccination 7 coded responses 8 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
915 / CA
Registered
2021-07-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
4FS-12588-74993 Adult relative or friend · Female · 2021-07-04

Timeline

  1. 2021-07-01
    Dose 1 — Moderna
  2. 2021-07-04
    Registered in v-safe
  3. 2021-07-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Crying, Gait inability, Malaise, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: I feel like death and this is my first shot 4 days later I cant walk I cry allDay in pain I dont want to get the second shot if this is how I am going to feel
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-07-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Crying, Depression, Gait inability, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: I am the sole care giver for my Mother and I am on day 5 I cant walk I hurt so bad I cant stand it and I am still crying everyday in pain and depression from the God Damn shot!!! I wish I NEVER got it!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Loss of personal independence in daily activities, Mobility decreased, Pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: There is no way in Hell I am getting my second shot. I cant walk or do any of the things I need to do. The pain is horrible
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-07-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Emergency care — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Went to the hospital last night and they would not help me because they said there was nothing they can doI wish I never got this poison
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-07-10
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: I dont know why I do this it does not matter!!! Biden is probably laughing all the way to bank I wish I never took this poison
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-07-17
    Survey response — day 14, dose 1
    MedDRA: Chest pain, Dyspnoea, Gait inability, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Cant walk legs are killing me, chest hurts cant take deal breaths. This is horrible its now been 16 days since first shot and I am only getting worse. I have filled these out everyday and I do t know why it is nit helping me in any way!!!
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-07-24
    Health check-in — day 21, dose 1
    Feeling: Poor
    Adult check-in
  10. 2021-08-12
    Survey response — day 42, dose 1
    MedDRA: Mobility decreased, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Still cant lift my arm, can barley get out of bed body aches so bad
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-07-01Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-04

Systemic reaction (other): I feel like death and this is my first shot 4 days later I cant walk I cry allDay in pain I dont want to get the second shot if this is how I am going to feel

2021-07-05

Systemic reaction (other): I am the sole care giver for my Mother and I am on day 5 I cant walk I hurt so bad I cant stand it and I am still crying everyday in pain and depression from the God Damn shot!!! I wish I NEVER got it!!

2021-07-06

Systemic reaction (other): There is no way in Hell I am getting my second shot. I cant walk or do any of the things I need to do. The pain is horrible

2021-07-07

Systemic reaction (other): Went to the hospital last night and they would not help me because they said there was nothing they can doI wish I never got this poison

Release 9 — day 7, dose 1

2021-07-10

Systemic reaction (other): I dont know why I do this it does not matter!!! Biden is probably laughing all the way to bank I wish I never took this poison

Release 9 — day 14, dose 1

2021-07-17

Symptoms: Cant walk legs are killing me, chest hurts cant take deal breaths. This is horrible its now been 16 days since first shot and I am only getting worse. I have filled these out everyday and I do t know why it is nit helping me in any way!!!

Release 9 — day 42, dose 1

2021-08-12

Symptoms: Still cant lift my arm, can barley get out of bed body aches so bad

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
SDChest pain · · ✓
SDDyspnoea · · ✓
SDGait inability · · ✓
SDMobility decreased ✓ · ✓
SDPain ✓ · ✓
SDPain in extremity · · ✓
SROCrying ✓ ✓ ✓
SRODepression ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROGait inability ✓ ✓ ✓
SROLoss of personal independence in daily activities ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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