622-10499-81052
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 934 / CA
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Poor quality sleep, Pyrexia — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Restless sleep during the night last night, felt feverish and hot however remained afebrileMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: GoodFree text: Developed numb index finger and thumb during the night - index finger remains numb. Is on opposing arm from injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — day 7, dose 1MedDRA: Hypoaesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Numbness continues in my right index finger C5C6 Derma tone Cervical x-ray pendingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-05
- 2021-04-12
-
2021-04-19
Dose 2 — Moderna
- 2021-04-19
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-21
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Joint range of motion decreased — Feeling: Fair · Fatigue or tirednessFree text: Had episode of finger numbness and difficulty to move fingers on left outer hand, numb. Numbness has resolved and function returned.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Headache — Feeling: Good · FeverFree text: Just feel warm all day. Slight headache when I woke up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
-
2021-05-10
Survey response — day 21, dose 2MedDRA: Alopecia, Arthralgia, Dry skin, Eczema, Rash — Feeling: GoodFree text: Developing dry eczema rash on Palmer surface of hands, hair falling out, having achy jointsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
- 2021-10-18
- 2022-01-20
- 2022-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Restless sleep during the night last night, felt feverish and hot however remained afebrile
Systemic reaction (other): Developed numb index finger and thumb during the night - index finger remains numb. Is on opposing arm from injection site.
Release 6 — day 7, dose 1
Systemic reaction (other): Numbness continues in my right index finger C5C6 Derma tone Cervical x-ray pending
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Had episode of finger numbness and difficulty to move fingers on left outer hand, numb. Numbness has resolved and function returned.
Systemic reaction (other): Just feel warm all day. Slight headache when I woke up.
Release 8 — day 21, dose 2
Symptoms: Developing dry eczema rash on Palmer surface of hands, hair falling out, having achy joints
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 | Alopecia | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Eczema | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release