274-15614-11935
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 908 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-27
-
2021-01-29
Survey response — day 7, dose 1MedDRA: Nasopharyngitis — Feeling: Poor · Headache, DiarrheaFree text: I have beginning symptoms of a coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-12
-
2021-02-18
Dose 2 — Moderna
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Error on temperature previous page: should read 98, I normally run a temperature between 96 and 97.9MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Health check-in — day 7, dose 2Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-06
Survey response — day 14, dose 2MedDRA: Axillary pain, Lethargy, Pain in extremity — Feeling: FairFree text: I have been very lethargic since the second shot. Also having pain both on top of the arm and under the arm in the area where I received the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-19
- 2021-03-28
- 2021-04-07
- 2021-05-20
-
2021-08-20
Survey response — 6 months, dose 2MedDRA: Bell's palsy, Sinus disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Bells PalsyLots of sinus issuesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-20
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
-
2022-02-18
Survey response — 12 months, dose 2MedDRA: Bell's palsy, Emergency care, Facial paralysis, Facial spasm — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Bells Palsey facial paralysis diagnosis in ER. Mostly resolved but continuing facial spams.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-18
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): I have beginning symptoms of a cold
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Error on temperature previous page: should read 98, I normally run a temperature between 96 and 97.9
Release 5 — day 14, dose 2
Symptoms: I have been very lethargic since the second shot. Also having pain both on top of the arm and under the arm in the area where I received the shot.
Release 9 — 6 months, dose 2
Symptoms: Bells PalsyLots of sinus issues
Release 11 — 12 months, dose 2
Symptoms: Bells Palsey facial paralysis diagnosis in ER. Mostly resolved but continuing facial spams.
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 | Axillary pain | ✓ | ✓ | ✓ |
| SD | Bell's palsy | ✓ | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Facial paralysis | · | · | ✓ |
| SD | Facial spasm | · | · | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release