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5PR-23895-10176

2 vaccinations 3 coded responses 6 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
605 / IL
Registered
2021-04-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-19
    Dose 1 — Moderna
  2. 2021-04-16
    Dose 2 — Moderna
  3. 2021-04-17
    Registered in v-safe
  4. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  6. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness, Nausea
    Free text: Tingling in my hand of the arm i got the vaccine. Been since the day after the shit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-07
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-07-16
    Survey response — 3 months, dose 2
    MedDRA: Neuralgia, Office visit, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Nerve pain in the arm i got the shot in. It probaby just a coincidence. It started a couple dats after the second shot · Healthcare visit (other): Saw pain dr and in physical therapy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-07-16
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-07-23
  11. 2022-04-18
    Survey response — 12 months, dose 2
    MedDRA: Condition aggravated, Deep vein thrombosis, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: I have had 11 dvt in my calfs in the past. I came off my blood thinners for 5 days for an injection and i got 6 dvt's 3 in each leg at same time. Thus was 2 months after i got my booster shot
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-18
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  13. 2022-04-19

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Moderna
22021-04-16Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Tingling in my hand of the arm i got the vaccine. Been since the day after the shit

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Nerve pain in the arm i got the shot in. It probaby just a coincidence. It started a couple dats after the second shot
Healthcare visit (other): Saw pain dr and in physical therapy

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: I have had 11 dvt in my calfs in the past. I came off my blood thinners for 5 days for an injection and i got 6 dvt's 3 in each leg at same time. Thus was 2 months after i got my booster shot

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
HCVOOffice visit ✓ · ✓
HCVOPhysiotherapy ✓ · ✓
SDCondition aggravated · · ✓
SDDeep vein thrombosis · · ✓
SDNeuralgia ✓ · ✓
SDPre-existing disease · · ✓
SROParaesthesia ✓ ✓ ✓

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