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5U5-29734-17968

3 vaccinations 3 coded responses 6 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
147 / NY
Registered
2022-01-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-04-17
    Dose 2 — Moderna
  3. 2022-01-20
    Dose 3 — Moderna
  4. 2022-01-24
    Registered in v-safe
  5. 2022-01-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dysphonia, Hypoaesthesia, Limb discomfort, Muscular weakness, Oropharyngeal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Throat hurts, it feels like someone is pushing on it, it's ok to breathe but barely have a voice. My fingers are numb and my arm extremely weak and heavy, and I am normally ok with the cold weather but I Literally cannot take it.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-01-31
    Survey response — day 7, dose 3
    MedDRA: Medical counselling, Rash, Self-medication, Therapeutic product ineffective, Ulcer — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: The rash now has sores and no matter what I've tried to do, or cleaning it, or OTC ointments, and medicines, nothing is really helping. I have no health insurance but I have called my dr and I can't go to urgent care again I have no insurance
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-02-10
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  9. 2022-02-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  10. 2022-04-22
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna No
22021-04-17Moderna No
32022-01-20Moderna No

Free text

Release 11 — days 1–6 daily, dose 3

2022-01-24

Systemic reaction (other): Throat hurts, it feels like someone is pushing on it, it's ok to breathe but barely have a voice. My fingers are numb and my arm extremely weak and heavy, and I am normally ok with the cold weather but I Literally cannot take it.

2022-01-26

Systemic reaction (other): Dizziness

Release 11 — day 7, dose 3

2022-01-31

Systemic reaction (other): The rash now has sores and no matter what I've tried to do, or cleaning it, or OTC ointments, and medicines, nothing is really helping. I have no health insurance but I have called my dr and I can't go to urgent care again I have no insurance

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
SRODizziness · · ✓
SRODysphonia · · ✓
SROHypoaesthesia · · ✓
SROLimb discomfort · · ✓
SROMedical counselling · · ✓
SROMuscular weakness · · ✓
SROOropharyngeal pain · · ✓
SRORash · · ✓
SROSelf-medication · · ✓
SROTherapeutic product ineffective · · ✓
SROUlcer · · ✓

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