4RG-50866-68344
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 121 / NY
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-02-27
Survey response — day 14, dose 1MedDRA: Erythema, Fatigue, Feeling hot, Pain in extremity — Feeling: GoodFree text: Friday the 19th my arm started to hurt, not too bad but more than it had hurt before. I was also pretty tired. On Saturday the 20th i had a large red swollen circle on my arm, hot to the touch. It only lasted 2 days. Fine since then.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Heavy menstrual bleeding, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Heavy, heavy, heavy menstruation. Day three, this is not normal for me. I will contact dr. tomorrow. · Healthcare visit (other): Havent had care yet, will follow up tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-03-25
- 2021-04-03
-
2021-04-10
Survey response — day 28, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Ive gotten dizzy a few times, but nothing serious.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-25
- 2021-06-13
-
2021-09-09
Survey response — 6 months, dose 2MedDRA: Tremor — Feeling: FairFree text: My husband got the first Moderna shot and now has fits of uncontrollable shakes. Please contact him. (b)(6)MedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
- 2021-12-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Friday the 19th my arm started to hurt, not too bad but more than it had hurt before. I was also pretty tired. On Saturday the 20th i had a large red swollen circle on my arm, hot to the touch. It only lasted 2 days. Fine since then.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): Heavy, heavy, heavy menstruation. Day three, this is not normal for me. I will contact dr. tomorrow.
Healthcare visit (other): Havent had care yet, will follow up tomorrow.
Release 7 — day 28, dose 2
Symptoms: Ive gotten dizzy a few times, but nothing serious.
Release 9 — 6 months, dose 2
Symptoms: My husband got the first Moderna shot and now has fits of uncontrollable shakes. Please contact him. (b)(6)
redacted (b)(6)
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Tremor | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release