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66Q-30194-05021

2 vaccinations 3 coded responses 26 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
553 / MN
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Registered in v-safe
  2. 2021-04-06
    Dose 1 — Moderna
  3. 2021-04-06
    Survey response — day 0, dose 1
    MedDRA: Hypoaesthesia, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Headache
    Free text: Numb arm, but I had the same problem after my last tetanus shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Nausea, Diarrhea
    Adult check-in
  6. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-13
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  11. 2021-04-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-04
    Dose 2 — Moderna
  14. 2021-05-04
    Survey response — day 0, dose 2
    MedDRA: Dizziness, Medical observation — Feeling: Fair · Site: Pain, Redness · Headache · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Systemic reaction (other): Dizzy, off balance, and my arm and tongue went numb for a short while. For about 15 minutes, my tongue was too numb for me to be able to form words. · Healthcare visit (other): The clinic I received the vaccine at sent me to the emergency room just in case
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-04
    Report sent to call center — day 0, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  18. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea
    Free text: By last night the redness and swelling extended six inches down from the injection site and wrapped most of the way around the arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · Headache, Nausea
    Adult check-in
  20. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, Nausea
    Adult check-in
  21. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Fatigue or tiredness, Nausea
    Adult check-in
  22. 2021-05-11
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness, Itching · Fatigue or tiredness
    Adult check-in
  23. 2021-05-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-01-04
  31. 2022-05-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Moderna
22021-05-04Moderna

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-06

Systemic reaction (other): Numb arm, but I had the same problem after my last tetanus shot

Release 8 — day 0, dose 2

2021-05-04

Systemic reaction (other): Dizzy, off balance, and my arm and tongue went numb for a short while. For about 15 minutes, my tongue was too numb for me to be able to form words.
Healthcare visit (other): The clinic I received the vaccine at sent me to the emergency room just in case

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): By last night the redness and swelling extended six inches down from the injection site and wrapped most of the way around the arm

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
HCVOMedical observation ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROReaction to previous exposure to any vaccine ✓ ✓ ✓

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