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
-
2021-02-10
Dose 1 — Moderna
-
2021-02-12
Registered in v-safe
-
2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: 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 siteFree 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
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-17
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2021-08-13
Survey response — 6 months, dose 1MedDRA: Muscle spasms — Feeling: GoodFree 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
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2022-02-12
Survey response — 12 months, dose 1MedDRA: Anaphylactic reaction, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree 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): AlleegistMedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Anaphylactic reaction | · | · | ✓ |
| SD | Muscle spasms | ✓ | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pharyngeal paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release