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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

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Survey response — day 0, dose 1
    MedDRA: Syncope — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities
    Free text: Syncope
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Hand swelling, pale, dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Tingling and pulsating throughout my body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 visit
    Free 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
  8. 2021-03-08
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Took Benadryl and resolved
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood iron decreased — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: My iron level is critically low
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Fair · Joint pains, Rash, not including the immediate area around the injection site
    Adult check-in
  12. 2021-03-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-25
    Survey response — day 21, dose 1
    MedDRA: Dizziness, Flushing, Headache, Rash, Skin burning sensation — Feeling: Fair
    Free 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 come
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-01
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-04-08
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-04-16
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  17. 2021-09-02
    Survey response — 6 months, dose 1
    MedDRA: Arthralgia, Feeling abnormal, Menstruation irregular, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Joint painOccasional rash on the face and chestI just dont feel the same My periods are irregular where as before they were normal
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-09-02
    Report sent to call center — 6 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-09-03

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): Syncope

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Hand swelling, pale, dizziness

2021-03-07

Systemic reaction (other): Tingling and pulsating throughout my body

2021-03-08

Systemic reaction (other): Flashes of hotness and tingling. Taking tylenol and Benadryl which is helping.

2021-03-09

Systemic reaction (other): Took Benadryl and resolved

2021-03-10

Systemic reaction (other): My iron level is critically low

Release 6 — day 21, dose 1

2021-03-25

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

2021-09-02

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ · ✓
SDDizziness ✓ ✓ ✓
SDFeeling abnormal ✓ · ✓
SDFlushing ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMenstruation irregular ✓ · ✓
SDRash ✓ ✓ ✓
SDSkin burning sensation ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROBlood iron decreased ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHot flush ✓ ✓ ✓
SROPallor ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSyncope ✓ ✓ ✓

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