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
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Fatigue — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
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2021-04-06
Survey response — day 14, dose 1MedDRA: Hypoaesthesia, Paraesthesia, Peripheral coldness — Feeling: FairFree 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
- 2021-04-13
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2021-04-20
Dose 2 — Moderna
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2021-04-20
Survey response — day 0, dose 2MedDRA: Dry mouth, Paraesthesia oral, Pollakiuria — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree 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
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
- 2022-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
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.
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Eyelid disorder | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Oedema | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release