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
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2021-01-13
Registered in v-safe
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2021-01-13
Dose 1 — Moderna
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Dysgeusia, Immediate post-injection reaction, Malaise — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree 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
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nodes in groin, armpit, breastsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-21
Survey response — day 7, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes in the groinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-02-03
- 2021-02-10
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2021-02-11
Dose 2 — Moderna
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: 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 professionalFree 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 doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-18
- 2021-08-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
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 .
Systemic reaction (other): Swollen lymph nodes in groin, armpit, breasts
Systemic reaction (other): Swollen lymph nodes
Release 2 — day 7, dose 1
Systemic reaction (other): Swollen lymph nodes in the groin
Release 4 — days 1–6 daily, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Bradykinesia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release