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5XT-13784-93081

1 vaccination 3 coded responses 7 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
722 / AR
Registered
2021-02-12
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-02-12
    Registered in v-safe
  3. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Immediate post-injection reaction, Paraesthesia oral, Pharyngeal paraesthesia, Pruritus, Self-medication — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Free text: Immediately after the shot, I got a headache that lasted maybe 10 minutes or so. Tingling around the mouth about 3 minutes after the shot. Tingling sensation in the throat at about 7 minutes after the shot. About 2 hours later itching. Once the Benadryl wore off, I continue to itch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-08-13
    Survey response — 6 months, dose 1
    MedDRA: Muscle spasms — Feeling: Good
    Free text: After my second shot on 6/29/2021 I did experience weird tongue cramping for about 1.5 hours. It has cramped a few times for a short time since then.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2022-02-12
    Survey response — 12 months, dose 1
    MedDRA: Anaphylactic reaction, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I can't remember the last check in date, however, since the 2nd dose of Moderna, I've had 7 anaphylactic reactions when exercising. This never happened before the shot. It doesn't happen every time. I'm now seeing an allergist and have an epi-pen. · Healthcare visit (other): Alleegist
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-02-12
    Report sent to call center — 12 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2022-02-17

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Immediately after the shot, I got a headache that lasted maybe 10 minutes or so. Tingling around the mouth about 3 minutes after the shot. Tingling sensation in the throat at about 7 minutes after the shot. About 2 hours later itching. Once the Benadryl wore off, I continue to itch.

Release 9 — 6 months, dose 1

2021-08-13

Symptoms: After my second shot on 6/29/2021 I did experience weird tongue cramping for about 1.5 hours. It has cramped a few times for a short time since then.

Release 11 — 12 months, dose 1

2022-02-12

Symptoms: I can't remember the last check in date, however, since the 2nd dose of Moderna, I've had 7 anaphylactic reactions when exercising. This never happened before the shot. It doesn't happen every time. I'm now seeing an allergist and have an epi-pen.
Healthcare visit (other): Alleegist

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
HCVOOffice visit · · ✓
SDAnaphylactic reaction · · ✓
SDMuscle spasms ✓ · ✓
SROHeadache ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROPharyngeal paraesthesia ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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