3W7-19875-60348
2 vaccinations
2 coded responses
22 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 243 / VA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Pain, Pain in jaw — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: 16 hours after my first shot, I work and the entire right side of my scalp was numb. I did not regain feeling until I massaged it for about three to give minutes. I had my shot in my left arm. I have also had very sore jaws on both sides that are painful when I open my mouth wide. That started about 5 hours after the shot an has continued since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-15
Dose 2 — Moderna
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Chest pain, Insomnia — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, NauseaFree text: Back and chest pain at night. Severe enough to keep me awake all three night after receiving the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-24
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-05-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-15 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): 16 hours after my first shot, I work and the entire right side of my scalp was numb. I did not regain feeling until I massaged it for about three to give minutes. I had my shot in my left arm. I have also had very sore jaws on both sides that are painful when I open my mouth wide. That started about 5 hours after the shot an has continued since.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Back and chest pain at night. Severe enough to keep me awake all three night after receiving the vaccine.
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 | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release