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38F-12815-16353

1 vaccination 4 coded responses 13 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
898 / NV
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-01-21
    Registered in v-safe
  3. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Electric shock sensation, Palpitations — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Buzzing in brain, chest tightness and heart racing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site swelling — Feeling: Good · Site: Swelling
    Free text: Yesterday the site would not let me report. I woke up yesterday am to my arm at the location of the injection being HUGE. It was scary. Stayed that way all day. Still swollen but better today. My body did not like this vaccine. Terrified to get 2nd dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-03
    Survey response — day 14, dose 1
    MedDRA: Tinnitus — Feeling: Good
    Free text: Still having the buzzing in my head which is very similar to when I had Covid-19. I had hoped it would resolve by now but still present.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-12
    Survey response — day 21, dose 1
    MedDRA: Electric shock sensation — Feeling: Good
    Free text: Head still buzzing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-19
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-24
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-03
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-21
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-07-21
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Buzzing in brain, chest tightness and heart racing

2021-01-24

Systemic reaction (other): Yesterday the site would not let me report. I woke up yesterday am to my arm at the location of the injection being HUGE. It was scary. Stayed that way all day. Still swollen but better today. My body did not like this vaccine. Terrified to get 2nd dose.

Release 3 — day 14, dose 1

2021-02-03

Symptoms: Still having the buzzing in my head which is very similar to when I had Covid-19. I had hoped it would resolve by now but still present.

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Head still buzzing

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
SDElectric shock sensation ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROElectric shock sensation ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓

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