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4RA-15868-41001

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
986 / WA
Registered
2021-03-23
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Registered in v-safe
  2. 2021-03-23
    Dose 1 — Moderna
  3. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry mouth, Eyelid disorder, Immediate post-injection reaction, Oedema, Paraesthesia oral, Pollakiuria, Throat irritation — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I had a strange reaction 10 minutes after injection: tingling lips, hot throat and extremely dry mouth. Then my eyelids started drooping and I urinated five times in two hours. These symptoms have gone, but now I am experiencing edema - similar to how my body reacts to NSAIDS.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Fatigue — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Just incredibly tired and no energy. I walked my dog, then did some yard work and had to go to bed for the rest of the morning/afternoon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-06
    Survey response — day 14, dose 1
    MedDRA: Hypoaesthesia, Paraesthesia, Peripheral coldness — Feeling: Fair
    Free text: Just a few hours ago the left side of my face began tingling. The outside tip of my right nostril is numb. The left side reaches from my cheekbone down my cheek - tingling, cold and slightly numb.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-20
    Dose 2 — Moderna
  13. 2021-04-20
    Survey response — day 0, dose 2
    MedDRA: Dry mouth, Paraesthesia oral, Pollakiuria — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Same as the first shot - tingling lips, dry mouth and droopy eyelids. I havent, however, experienced urgency and frequency to urinate this time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  17. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  18. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-04-27
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  20. 2021-05-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-04-22
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-20Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): I had a strange reaction 10 minutes after injection: tingling lips, hot throat and extremely dry mouth. Then my eyelids started drooping and I urinated five times in two hours. These symptoms have gone, but now I am experiencing edema - similar to how my body reacts to NSAIDS.

2021-03-25

Systemic reaction (other): Just incredibly tired and no energy. I walked my dog, then did some yard work and had to go to bed for the rest of the morning/afternoon.

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Just a few hours ago the left side of my face began tingling. The outside tip of my right nostril is numb. The left side reaches from my cheekbone down my cheek - tingling, cold and slightly numb.

Release 7 — day 0, dose 2

2021-04-20

Systemic reaction (other): Same as the first shot - tingling lips, dry mouth and droopy eyelids. I havent, however, experienced urgency and frequency to urinate this time.

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
SDHypoaesthesia ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDPeripheral coldness ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROEyelid disorder ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROOedema ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROPollakiuria ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓

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