4M8-96526-06459
4 vaccinations
12 coded responses
36 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 371 / TN
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
-
2020-12-24
Dose 1 — Moderna
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Dry mouth, Influenza like illness, Injection site pain, Somnolence — Feeling: Good · Site: Pain · Chills, Muscle or body aches, NauseaFree text: Flu like Symptoms and Dizziness.Injection was on left very sore and had some pain in upper shoulder. Felt like I had Anesthesia from surgery for about 48hrs.Ver dry cotton mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-30
- 2021-01-02
-
2021-01-09
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: GoodFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
-
2021-01-21
Dose 2 — Moderna
-
2021-01-21
Survey response — day 0, dose 2MedDRA: Neck pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Again Left Arm and neck Pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Increase Heart BeatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Headache, Heart rate abnormal — Feeling: Fair · Fever · HeadacheFree text: Feeling like I am coning of anesthesia.Heart rate back to normal.Slight Headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Hypotension — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Low Blood PressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Dehydration, Feeling abnormal — Feeling: GoodFree text: Dehydration and still feeling like in a fog off and on.Really needs to be told to hydrated very well before and after vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-02-11
- 2021-02-18
- 2021-02-27
- 2021-03-04
- 2021-04-22
- 2021-07-22
-
2021-10-29
Dose 3 — Moderna
-
2021-10-29
Survey response — day 0, dose 3MedDRA: Dizziness, Hot flush — Feeling: Fair · Site: Pain · HeadacheFree text: Dizziness and hot flashesMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Frequent bowel movements — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tirednessFree text: More bowel movement than usual but not enough to not function.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-07
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-12
- 2022-01-28
- 2022-04-29
-
2022-06-15
Dose 4 — Moderna
-
2022-06-25
Survey response — day 7, dose 4MedDRA: Heart rate increased — Feeling: GoodFree text: Increase heart rateMedDRA releases: 2024-11 · check-in free text available
-
2022-06-29
Survey response — day 14, dose 4MedDRA: Heart rate increased — Feeling: FairFree text: Still dealing with increasing heart rate.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-06
-
2022-07-29
Survey response — day 42, dose 4MedDRA: Heart rate increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Increase in Heart RateMedDRA releases: 2024-11 · check-in free text available
-
2022-07-29
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-06-15 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Flu like Symptoms and Dizziness.Injection was on left very sore and had some pain in upper shoulder. Felt like I had Anesthesia from surgery for about 48hrs.Ver dry cotton mouth.
Release 1 — day 14, dose 1
Symptoms: Itching
Release 2 — day 0, dose 2
Systemic reaction (other): Again Left Arm and neck Pain.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Increase Heart Beat
Systemic reaction (other): Feeling like I am coning of anesthesia.Heart rate back to normal.Slight Headache.
Systemic reaction (other): Low Blood Pressure
Systemic reaction (other): Dehydration and still feeling like in a fog off and on.Really needs to be told to hydrated very well before and after vaccine.
Release 10 — day 0, dose 3
Systemic reaction (other): Dizziness and hot flashes
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): More bowel movement than usual but not enough to not function.
Release 12 — day 7, dose 4
Systemic reaction (other): Increase heart rate
Release 12 — day 14, dose 4
Symptoms: Still dealing with increasing heart rate.
Release 12 — day 42, dose 4
Symptoms: Increase in Heart Rate
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 |
|---|---|---|---|---|
| SD | Heart rate increased | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Frequent bowel movements | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate abnormal | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Hypotension | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release