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5DR-87822-61233

2 vaccinations 2 coded responses 9 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
150 / PA
Registered
2021-01-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Dose 1 — Moderna
  2. 2021-01-25
    Registered in v-safe
  3. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Disorganised speech, Dizziness, Emergency care, Hypoaesthesia, Immediate post-injection reaction — Feeling: Good · Site: Pain
    Free text: About 20 minutes after the injection, I became very dizzy. This increased significantly and then I started feeling as if my jaw and lower part of my face were numb. I had trouble articulating my words and ended up going to the ER . After about 2 hours the symptoms decreased and I was released and sent home. I had no external swelling of my glands or tongue with the jaw tightening and numbness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-04
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-16
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-02-19
    Dose 2 — Moderna
  9. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Headache, Pyrexia — Feeling: Good
    Free text: Day after receiving second dose, had small fever and chills with a headache. Went away the following day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-19Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): About 20 minutes after the injection, I became very dizzy. This increased significantly and then I started feeling as if my jaw and lower part of my face were numb. I had trouble articulating my words and ended up going to the ER . After about 2 hours the symptoms decreased and I was released and sent home. I had no external swelling of my glands or tongue with the jaw tightening and numbness.

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Day after receiving second dose, had small fever and chills with a headache. Went away the following day.

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
SROChills ✓ ✓ ✓
SRODisorganised speech ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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