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4CW-88263-11703

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
604 / IL
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Registered in v-safe
  2. 2021-03-18
    Dose 1 — Moderna
  3. 2021-03-18
    Survey response — day 0, dose 1
    MedDRA: Chest discomfort, Feeling hot, Immediate post-injection reaction, Paraesthesia oral — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: About 1.5 minutes of shot, I felt heat sensation go through left arm, across chest and back into Right arm, then go down into rest of body and legs. Came back up body and through head. Then about 25 minutes later tingling in lips for an hour
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-18
    Report sent to call center — day 0, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Tender around shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Depression, Hyperhidrosis — Feeling: Good · Fever
    Free text: Sweating in sleep and depression last 24 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-15
    Dose 2 — Moderna
  13. 2021-04-15
    Survey response — day 0, dose 2
    MedDRA: Chills, Feeling hot — Feeling: Fair · Chills
    Free text: Episodic moments of Mild chills n warm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Congestion and Nasal Drainage
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling hot, Hyperhidrosis — Feeling: Fair · Fever · Headache
    Free text: Hot overnight sleeping, sweating
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling hot, Night sweats — Feeling: Fair · Fever · Headache
    Free text: Hot/sweating sleeping overnight
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Muscle or body aches
    Adult check-in
  19. 2021-05-01
    Survey response — day 14, dose 2
    MedDRA: Flatulence, Headache, Nausea, Respiratory tract congestion — Feeling: Fair
    Free text: Queasy 2 days, congested, headache gassy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-06
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-12-20
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-15Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-18

Systemic reaction (other): About 1.5 minutes of shot, I felt heat sensation go through left arm, across chest and back into Right arm, then go down into rest of body and legs. Came back up body and through head. Then about 25 minutes later tingling in lips for an hour

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Tender around shot

2021-03-21

Systemic reaction (other): Sweating in sleep and depression last 24 hours

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): Episodic moments of Mild chills n warm

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Congestion and Nasal Drainage

2021-04-19

Systemic reaction (other): Hot overnight sleeping, sweating

2021-04-21

Systemic reaction (other): Hot/sweating sleeping overnight

Release 8 — day 14, dose 2

2021-05-01

Symptoms: Queasy 2 days, congested, headache gassy

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
SDFlatulence ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODepression ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SRORhinorrhoea · · ✓

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