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
-
2021-03-23
Dose 1 — Moderna
-
2021-03-24
Registered in v-safe
- 2021-03-25
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
-
2021-04-06
Survey response — day 14, dose 1MedDRA: Chills, Hypoaesthesia, Skin warm — Feeling: GoodFree 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
- 2021-04-13
-
2021-04-20
Dose 2 — Moderna
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Chills, Headache, Fatigue or tirednessFree text: Slight numbness and tingling in the wrists, palm and fingersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-28
- 2021-05-04
- 2021-05-11
-
2021-05-18
Survey response — day 28, dose 2MedDRA: Dry mouth, Dry throat — Feeling: FairFree text: Extremely dry mouth and throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-06-01
-
2021-07-20
Survey response — 3 months, dose 2MedDRA: Chills, Rash, Skin warm — Feeling: FairFree 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 legsMedDRA releases: 2024-11 · check-in free text available
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2021-10-19
Survey response — 6 months, dose 2MedDRA: 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 visitFree text: Sore throat, congestion and slight flu-like symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-21
- 2021-10-26
- 2022-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 14, dose 1
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
Systemic reaction (other): Slight numbness and tingling in the wrists, palm and fingers
Release 8 — day 28, dose 2
Symptoms: Extremely dry mouth and throat
Release 9 — 3 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dry mouth | ✓ | ✓ | ✓ |
| SD | Dry throat | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release