5R5-14919-85601
2 vaccinations
5 coded responses
12 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 327 / FL
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-17
Registered in v-safe
-
2021-03-17
Survey response — day 14, dose 1MedDRA: Hypoaesthesia, Hypoaesthesia oral, Immediate post-injection reaction, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: When administered the first shot, within 30 minutes my left jaw started to feel semi-numb and tingling. It then moved to my right side where it felt like anesthesia wearing off (semi-numb) from my mouth up to my right ear. The feeling is still there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-23
-
2021-03-29
Dose 2 — Moderna
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Immediate post-injection reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Continued semi-numbness in right jawline up to ear that started within the first 30 minutes of first shot · Healthcare visit (other): After first shot: Doctor visit, steroid and started nerve med last Friday for the semi-numbness in my face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Immediate post-injection reaction, Medical counselling — Feeling: Fair · Site: Redness, Swelling · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Continued semi-numbness in right side of face to ear which started within first 30 minutes of my first vaccine shot. · Healthcare visit (other): Phone calls to Dr.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain — Feeling: Fair · Site: Redness, Swelling · Joint painsFree text: Left breast sore. Forgot to mention it before. Started two wks after first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — day 7, dose 2MedDRA: Breast pain, Headache, Hypoaesthesia, Office visit — Feeling: Fair · Site: Redness · Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Soreness in and around left breast Since about two weeks after first shot. Continued semi-numbness on right jawline up to ear Light pain up to top right of head. · Healthcare visit (other): Doctor office visitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-12
- 2021-04-21
- 2021-04-28
- 2021-05-03
- 2021-06-08
- 2021-06-08
- 2021-06-09
- 2021-06-09
- 2021-07-02
- 2021-09-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna |
Call center
4 call center cases
4 unsuccessful
Free text
Release 5 — day 14, dose 1
Symptoms: When administered the first shot, within 30 minutes my left jaw started to feel semi-numb and tingling. It then moved to my right side where it felt like anesthesia wearing off (semi-numb) from my mouth up to my right ear. The feeling is still there. cut off by CDC
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Continued semi-numbness in right jawline up to ear that started within the first 30 minutes of first shot
Healthcare visit (other): After first shot: Doctor visit, steroid and started nerve med last Friday for the semi-numbness in my face.
Systemic reaction (other): Continued semi-numbness in right side of face to ear which started within first 30 minutes of my first vaccine shot.
Healthcare visit (other): Phone calls to Dr.
Systemic reaction (other): Left breast sore. Forgot to mention it before. Started two wks after first shot.
Release 7 — day 7, dose 2
Systemic reaction (other): Soreness in and around left breast Since about two weeks after first shot. Continued semi-numbness on right jawline up to ear Light pain up to top right of head.
Healthcare visit (other): Doctor office visits
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 |
|---|---|---|---|---|
| HCVO | Hypoaesthesia | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release