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
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
-
2021-04-06
Survey response — day 0, dose 1MedDRA: Hypoaesthesia, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · HeadacheFree text: Numb arm, but I had the same problem after my last tetanus shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Nausea, DiarrheaAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-05-04
Dose 2 — Moderna
-
2021-05-04
Survey response — day 0, dose 2MedDRA: Dizziness, Medical observation — Feeling: Fair · Site: Pain, Redness · Headache · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree 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 caseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, NauseaFree text: By last night the redness and swelling extended six inches down from the injection site and wrapped most of the way around the armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Headache, NauseaAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, NauseaAdult check-in
-
2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tiredness, NauseaAdult check-in
-
2021-05-11
Health check-in — day 7, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-02
- 2022-01-04
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Numb arm, but I had the same problem after my last tetanus shot
Release 8 — day 0, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release