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
-
2021-01-19
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Disorganised speech, Dizziness, Emergency care, Hypoaesthesia, Immediate post-injection reaction — Feeling: Good · Site: PainFree 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
- 2021-01-26
- 2021-02-04
- 2021-02-09
- 2021-02-16
-
2021-02-19
Dose 2 — Moderna
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Pyrexia — Feeling: GoodFree 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
- 2021-02-25
- 2021-03-07
- 2021-08-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Disorganised speech | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release