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4N9-14586-85348

2 vaccinations 5 coded responses 10 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
549 / WI
Registered
2021-01-13
Relationship
Self

Timeline

  1. 2021-01-13
    Registered in v-safe
  2. 2021-01-13
    Dose 1 — Moderna
  3. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Dysgeusia, Immediate post-injection reaction, Malaise — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Metal taste in mouth immediately after receiving , dizziness first hour after receiving, general malaise next day. I cant wait to go to bed .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Swollen lymph nodes in groin, armpit, breasts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-01-21
    Survey response — day 7, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Swollen lymph nodes in the groin
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-27
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-10
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-11
    Dose 2 — Moderna
  12. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood pressure increased, Bradykinesia, Dizziness, Dysgeusia, Erythema, Feeling abnormal, Feeling cold, Immediate post-injection reaction, Medical counselling, Pruritus — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): I immediately tasted metal in my mouth within 30 seconds of getting the shot. 6 minutes after receiving it, I felt completely off. An out of Body dizzy slow motion feeling . It lasted about 45 minutes with most severe sx, I felt cold in my chest and my bp went up and I started to itch on my neck and turn red ; that only lasted a few minutes. · Healthcare visit (other): Called doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-17
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-08-06

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-11Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Metal taste in mouth immediately after receiving , dizziness first hour after receiving, general malaise next day. I cant wait to go to bed .

2021-01-17

Systemic reaction (other): Swollen lymph nodes in groin, armpit, breasts

2021-01-18

Systemic reaction (other): Swollen lymph nodes

Release 2 — day 7, dose 1

2021-01-21

Systemic reaction (other): Swollen lymph nodes in the groin

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): I immediately tasted metal in my mouth within 30 seconds of getting the shot. 6 minutes after receiving it, I felt completely off. An out of Body dizzy slow motion feeling . It lasted about 45 minutes with most severe sx, I felt cold in my chest and my bp went up and I started to itch on my neck and turn red ; that only lasted a few minutes.
Healthcare visit (other): Called doctor

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
HCVOMedical counselling ✓ ✓ ✓
SROBlood pressure increased ✓ ✓ ✓
SROBradykinesia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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