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
-
2021-01-14
Dose 1 — Moderna
-
2021-04-17
Dose 2 — Moderna
-
2022-01-20
Dose 3 — Moderna
-
2022-01-24
Registered in v-safe
-
2022-01-24
Survey response — days 1–6 daily, dose 3MedDRA: 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 activitiesFree 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
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2022-01-26
Survey response — days 1–6 daily, dose 3MedDRA: 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 activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-01-31
Survey response — day 7, dose 3MedDRA: 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 activitiesFree 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 insuranceMedDRA releases: 2024-11 · check-in free text available
- 2022-02-10
- 2022-02-26
- 2022-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | No |
| 2 | 2021-04-17 | Moderna | No |
| 3 | 2022-01-20 | Moderna | No |
Free text
Release 11 — days 1–6 daily, dose 3
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.
Systemic reaction (other): Dizziness
Release 11 — day 7, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Dizziness | · | · | ✓ |
| SRO | Dysphonia | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Limb discomfort | · | · | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Muscular weakness | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Therapeutic product ineffective | · | · | ✓ |
| SRO | Ulcer | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release