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5RU-30211-54348

1 vaccination 2 coded responses 2 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
030 / NH
Registered
2021-04-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-21
    Dose 1 — Moderna
  2. 2021-04-26
    Registered in v-safe
  3. 2021-04-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Emergency care, Pain — Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): One day after vaccine I experienced all of these symptoms I mentioned and felt us though I was going to pass out, fell to the floor, body became numb, fingers were hardening up I all different directions, thrashing about in floor because I was having trouble breathing, skin was a Pakistani yellow. Husband called 911 . Paramedics tended to me at my home. Have not been quite the same since then. · Healthcare visit (other): Paramedics were called to my house through a 911 call from husband
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-26
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-04-28
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: I had a pretty bad reaction within 24 hours of getting shot, so Im surprised theres been no follow up through this site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2022-04-07

Vaccinations

DoseDateManufacturerCo-administered
12021-04-21Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): One day after vaccine I experienced all of these symptoms I mentioned and felt us though I was going to pass out, fell to the floor, body became numb, fingers were hardening up I all different directions, thrashing about in floor because I was having trouble breathing, skin was a Pakistani yellow. Husband called 911 . Paramedics tended to me at my home. Have not been quite the same since then.
Healthcare visit (other): Paramedics were called to my house through a 911 call from husband

Release 8 — day 7, dose 1

2021-04-28

Systemic reaction (other): I had a pretty bad reaction within 24 hours of getting shot, so Im surprised theres been no follow up through this site.

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
HCVOEmergency care ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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