5Y7-29502-51458
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 633 / MO
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Swelling — Feeling: Fair · Site: ItchingFree text: Neck swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-25
-
2021-04-06
Survey response — day 21, dose 1MedDRA: Bell's palsy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: My bels palsey hit my face the jaw where you get T-Mobile seized up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-13
Dose 2 — Moderna
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Facial pain, Muscle twitching, Pre-existing disease — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Vomiting, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: My face started hurting and twitching line I was using a tinge machine. This is how my face feels before I get a bad attack of bels palsy. The second dose flared it up all over again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-05
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2021-05-18
Survey response — day 35, dose 2MedDRA: Facial pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Face is still hurting and painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-12
Survey response — 6 months, dose 2MedDRA: Apathy, Asthenia, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have not had a good day since I took the shots I'm 72 and my energy has gone. The desire to do anything just gone. · Healthcare visit (other): Many drs. AppointmentsMedDRA releases: 2024-11 · check-in free text available
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2021-10-12
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-13
- 2021-10-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Call center
3 call center cases
3 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Neck swollen
Release 7 — day 21, dose 1
Symptoms: My bels palsey hit my face the jaw where you get T-Mobile seized up.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My face started hurting and twitching line I was using a tinge machine. This is how my face feels before I get a bad attack of bels palsy. The second dose flared it up all over again.
Release 8 — day 35, dose 2
Symptoms: Face is still hurting and pain
Release 10 — 6 months, dose 2
Symptoms: I have not had a good day since I took the shots I'm 72 and my energy has gone. The desire to do anything just gone.
Healthcare visit (other): Many drs. Appointments
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 | Apathy | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Bell's palsy | ✓ | ✓ | ✓ |
| SD | Facial pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release