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58P-16963-42060

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
275 / NC
Registered
2021-04-09
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Registered in v-safe
  2. 2021-04-09
    Dose 1 — Moderna
  3. 2021-04-09
    Survey response — day 0, dose 1
    MedDRA: Hypoaesthesia, Musculoskeletal stiffness, Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Stiff neck and numbness and tingling down the arm with the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: Muscles around the shoulder blade and neck on the side of the injection arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia — Feeling: Good · Site: Swelling
    Free text: A little continued tingling in the last two fingers of the injection arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-04-16
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-04-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-07
    Dose 2 — Moderna
  11. 2021-05-07
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  12. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches
    Adult check-in
  14. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Nausea
    Adult check-in
  15. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  16. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  17. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-14
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-05-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-29
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-06-06
    Survey response — day 28, dose 2
    MedDRA: Dyspnoea — Feeling: Fair
    Free text: A little shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-08
    Survey response — 6 months, dose 2
    MedDRA: Arrhythmia, Electrocardiogram abnormal, Office visit, Pain, Systemic inflammatory response syndrome, Tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I went to a cardiologist for pain and tachycardia. They did an EKG and Holter and found some inappropriate rhythms. The cardiologist didn't find anything structural and thinks that I have systemic inflammation from the vaccination. Not serious.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-11-08
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  25. 2021-11-10

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-07Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-09

Systemic reaction (other): Stiff neck and numbness and tingling down the arm with the injection.

Release 7 — days 1–6 daily, dose 1

2021-04-11

Systemic reaction (other): Muscles around the shoulder blade and neck on the side of the injection arm

2021-04-12

Systemic reaction (other): A little continued tingling in the last two fingers of the injection arm.

Release 8 — day 28, dose 2

2021-06-06

Symptoms: A little shortness of breath

Release 10 — 6 months, dose 2

2021-11-08

Symptoms: I went to a cardiologist for pain and tachycardia. They did an EKG and Holter and found some inappropriate rhythms. The cardiologist didn't find anything structural and thinks that I have systemic inflammation from the vaccination. Not serious.

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
SDArrhythmia · · ✓
SDDyspnoea ✓ ✓ ✓
SDElectrocardiogram abnormal · · ✓
SDOffice visit · · ✓
SDPain · · ✓
SDSystemic inflammatory response syndrome · · ✓
SDTachycardia · · ✓
SROHypoaesthesia ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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