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2TD-19438-11160

2 vaccinations 8 coded responses 15 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
482 / MI
Registered
2021-03-03
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-03-02
    Dose 2 — Moderna
  3. 2021-03-03
    Registered in v-safe
  4. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea
    Free text: Heart rate 108- 117
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia oral — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: I forgot to inform you on the evening of the injection my upper lip and the left inside of my mouth had a numbing sensation that lasted about 18 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches
    Adult check-in
  8. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  9. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  10. 2021-03-09
    Survey response — day 7, dose 2
    MedDRA: Blood pressure increased, Heart rate increased — Feeling: Good · Site: Itching · Muscle or body aches
    Free text: I forgot to tell you it took my BP 4 days to come down and 2 for my heart rate after the second dose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-16
    Survey response — day 14, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: The calf of my legs pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-30
    Survey response — day 28, dose 2
    MedDRA: Headache, Rhinorrhoea — Feeling: Fair
    Free text: Runny nose and headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-01
    Survey response — 3 months, dose 2
    MedDRA: Lethargy — Feeling: Good
    Free text: Lethargic
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-31
    Survey response — 6 months, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: My rt sometime the lt calf ache
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2022-03-02
    Survey response — 12 months, dose 2
    MedDRA: Balance disorder, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Tingling in the feet and some balance issues at times not all the time though.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-03-02
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-03-04
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Heart rate 108- 117

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): I forgot to inform you on the evening of the injection my upper lip and the left inside of my mouth had a numbing sensation that lasted about 18 hours

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): I forgot to tell you it took my BP 4 days to come down and 2 for my heart rate after the second dose

Release 5 — day 14, dose 2

2021-03-16

Symptoms: The calf of my legs pain

Release 6 — day 28, dose 2

2021-03-30

Symptoms: Runny nose and headache

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: Lethargic

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: My rt sometime the lt calf ache

Release 11 — 12 months, dose 2

2022-03-02

Symptoms: Tingling in the feet and some balance issues at times not all the time though.

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
SDBalance disorder · · ✓
SDHeadache ✓ ✓ ✓
SDLethargy ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDUnevaluable event ✓ · ✓
SROBlood pressure increased ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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