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5CQ-12804-66461

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
104 / NY
Registered
2021-03-24
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Dose 1 — Moderna
  2. 2021-03-24
    Registered in v-safe
  3. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills
    Adult check-in
  4. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-06
    Survey response — day 14, dose 1
    MedDRA: Chills, Hypoaesthesia, Skin warm — Feeling: Good
    Free text: Heat radiating from the arm in which I was injected and in back followed by chills sporadically for 1-2 days. Numbness in both wrist for up to 2 hours in 1 day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-20
    Dose 2 — Moderna
  11. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Chills, Headache, Fatigue or tiredness
    Free text: Slight numbness and tingling in the wrists, palm and fingers
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  14. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  17. 2021-04-28
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-18
    Survey response — day 28, dose 2
    MedDRA: Dry mouth, Dry throat — Feeling: Fair
    Free text: Extremely dry mouth and throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-20
    Survey response — 3 months, dose 2
    MedDRA: Chills, Rash, Skin warm — Feeling: Fair
    Free text: I have been experiencing occasional shivers or feelings of heat radiating from the arm in which I received the first dose. I also broke out in weird rash on my arms and legs
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-19
    Survey response — 6 months, dose 2
    MedDRA: Influenza like illness, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Sore throat, congestion and slight flu-like symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-19
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2021-10-21
  27. 2021-10-26
  28. 2022-04-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

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

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-06

Symptoms: Heat radiating from the arm in which I was injected and in back followed by chills sporadically for 1-2 days. Numbness in both wrist for up to 2 hours in 1 day.

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Slight numbness and tingling in the wrists, palm and fingers

Release 8 — day 28, dose 2

2021-05-18

Symptoms: Extremely dry mouth and throat

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: I have been experiencing occasional shivers or feelings of heat radiating from the arm in which I received the first dose. I also broke out in weird rash on my arms and legs

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Sore throat, congestion and slight flu-like symptoms.

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
SDChills ✓ ✓ ✓
SDDry mouth ✓ ✓ ✓
SDDry throat ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDInfluenza like illness · · ✓
SDOropharyngeal pain · · ✓
SDRash · · ✓
SDRespiratory tract congestion · · ✓
SDSkin warm ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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