5UC-93555-90285
1 vaccination
8 coded responses
14 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 080 / NJ
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-03-04
Registered in v-safe
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2021-03-04
Dose 1 — Moderna
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2021-03-04
Survey response — day 0, dose 1MedDRA: Syncope — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: SyncopeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Pallor, Peripheral swelling — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Hand swelling, pale, dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tingling and pulsating throughout my bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Hot flush, Paraesthesia, Self-medication — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Flashes of hotness and tingling. Taking tylenol and Benadryl which is helping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Took Benadryl and resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Blood iron decreased — Feeling: Fair · Headache, Fatigue or tirednessFree text: My iron level is critically lowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Health check-in — day 7, dose 1Feeling: Fair · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-18
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2021-03-25
Survey response — day 21, dose 1MedDRA: Dizziness, Flushing, Headache, Rash, Skin burning sensation — Feeling: FairFree text: I have to take a 24hr allegra every night to subdue the symptoms. If I dont I get a rash on face, neck, scalp, chest. Burning feeling on skin. Burning feeling in head. Headache, dizziness, flushing feeling. If I dont take allegra they all comeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-16
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2021-09-02
Survey response — 6 months, dose 1MedDRA: Arthralgia, Feeling abnormal, Menstruation irregular, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Joint painOccasional rash on the face and chestI just dont feel the same My periods are irregular where as before they were normalMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Syncope
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Hand swelling, pale, dizziness
Systemic reaction (other): Tingling and pulsating throughout my body
Systemic reaction (other): Flashes of hotness and tingling. Taking tylenol and Benadryl which is helping.
Systemic reaction (other): Took Benadryl and resolved
Systemic reaction (other): My iron level is critically low
Release 6 — day 21, dose 1
Symptoms: I have to take a 24hr allegra every night to subdue the symptoms. If I dont I get a rash on face, neck, scalp, chest. Burning feeling on skin. Burning feeling in head. Headache, dizziness, flushing feeling. If I dont take allegra they all come
Release 9 — 6 months, dose 1
Symptoms: Joint painOccasional rash on the face and chestI just dont feel the same My periods are irregular where as before they were normal
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | · | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Blood iron decreased | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Pallor | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release