4SZ-72417-59419
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 393 / MS
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
-
2021-03-19
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: LightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Soreness in left arm where vaccinatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-23
- 2021-03-25
- 2021-03-26
-
2021-04-02
Survey response — day 14, dose 1MedDRA: Peripheral swelling, Pruritus, Tenderness — Feeling: GoodFree text: Last week, I experienced swelling, itching & a slight tenderness in my left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
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2021-04-16
Dose 2 — Moderna
- 2021-04-30
- 2021-05-07
- 2021-05-14
-
2021-05-21
Survey response — day 35, dose 2MedDRA: Dizziness, Fatigue, Somnolence — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I was sleepy, tired and my thoughts were scattered at times. I drove 35 miles East into Meridian this afternoon and seemed to blink out for a second. Had to refocus as I drove. Sometimes I had difficulty staying in my lane and driving with traffic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-30
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2021-07-16
Survey response — 3 months, dose 2MedDRA: Rash, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Small rash on left hand · Healthcare visit (other): Ill go see my family physician next Thursday.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-16
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
- 2021-10-15
- 2022-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Lightheaded
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness in left arm where vaccinated
Release 6 — day 14, dose 1
Symptoms: Last week, I experienced swelling, itching & a slight tenderness in my left arm.
Release 8 — day 35, dose 2
Symptoms: I was sleepy, tired and my thoughts were scattered at times. I drove 35 miles East into Meridian this afternoon and seemed to blink out for a second. Had to refocus as I drove. Sometimes I had difficulty staying in my lane and driving with traffic. cut off by CDC
Release 9 — 3 months, dose 2
Symptoms: Small rash on left hand
Healthcare visit (other): Ill go see my family physician next Thursday.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release