33S-94302-70624
1 vaccination
1 coded response
5 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 384 / TN
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Moderna
-
2021-02-27
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: Good · ChillsFree text: During my vaccination the Tech failed to administer the shot correctly. Once he put the needle in my arm the fluid spilled on my arm and clothes. He assured me that it was normal to have spillage. However, I ask to speak to the person in charge. She stated unfortunately there was nothing they could do and hoped that some of the vaccine entered my arm. Im very disappointed how dismissive they were regarding my concern. Again, I felt the needle penetrate my arm, but the fluid ran down my arm/clothing instead. I was looking forward to finally getting the vaccine and now Im left with concern.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-08-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): During my vaccination the Tech failed to administer the shot correctly. Once he put the needle in my arm the fluid spilled on my arm and clothes. He assured me that it was normal to have spillage. However, I ask to speak to the person in charge. She stated unfortunately there was nothing they could do and hoped that some of the vaccine entered my arm. Im very disappointed how dismissive they were regarding my concern. Again, I felt the needle penetrate my arm, but the fluid ran down my arm/clothing instead. I was looking forward to finally getting the vaccine and now Im left with concern.
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 |
|---|---|---|---|---|
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release