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4R3-32480-18610

1 vaccination 3 coded responses 8 check-ins 3 free-text entries 3 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
894 / NV
Registered
2021-01-06
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Dose 1 — Moderna
  2. 2021-01-06
    Registered in v-safe
  3. 2021-01-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gait inability, Tremor — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: After the shot, I was shaking and felt like I couldn't walk.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-06
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-01-07
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  7. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Muscular weakness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: I feel exhausted and very weak at the knees.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-08
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  9. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Aphasia, Chills, Crying, Dry mouth, Erythema, Fear, Headache, Heart rate increased, Immediate post-injection reaction, Loss of control of legs, Medical observation, Nausea, Nervous system disorder, Salivary hypersecretion, Spinal pain, Tremor — Feeling: Good · Fatigue or tiredness
    Free text: I would like to report what happened to me. I had the vaccination on Tuesday the 5th at 2:20. Within 10 minutes my mouth started producing s extra saliva and I began feeling nauseous. My mouth felt like I was getting cotton mouth. My face started getting red and neck also. My heart rate began elevating. The doctor took my vitals. I then started getting the chills. I stayed for about 2 hours. The doctor and nurse walked me out and got me to my husband and daughter. They also gave me a Benadryl pill but wasn't working quick enough so they gave me a Benadryl shot. When walking out, felt a sharp pain in my head down to the back of my spine. My legs collapsed and I couldn't talk. I began crying. I was also shaking uncontrollably. My family eventually got me home into bed and it took four days for me to feel normal. It was very scary. I am an extremely fit person and I felt it affected my nervous system. It was very scary!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  12. 2021-01-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  13. 2022-01-06
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna

Call center

3 call center cases

3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): After the shot, I was shaking and felt like I couldn't walk.

2021-01-08

Systemic reaction (other): I feel exhausted and very weak at the knees.

2021-01-11

Systemic reaction (other): I would like to report what happened to me. I had the vaccination on Tuesday the 5th at 2:20. Within 10 minutes my mouth started producing s extra saliva and I began feeling nauseous. My mouth felt like I was getting cotton mouth. My face started getting red and neck also. My heart rate began elevating. The doctor took my vitals. I then started getting the chills. I stayed for about 2 hours. The doctor and nurse walked me out and got me to my husband and daughter. They also gave me a Benadryl pill but wasn't working quick enough so they gave me a Benadryl shot. When walking out, felt a sharp pain in my head down to the back of my spine. My legs collapsed and I couldn't talk. I began crying. I was also shaking uncontrollably. My family eventually got me home into bed and it took four days for me to feel normal. It was very scary. I am an extremely fit person and I felt it affected my nervous system. It was very scary!

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
SROAphasia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCrying ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFear ✓ ✓ ✓
SROGait inability ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLoss of control of legs ✓ ✓ ✓
SROMedical observation ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRONervous system disorder ✓ ✓ ✓
SROSalivary hypersecretion ✓ ✓ ✓
SROSpinal pain ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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