697-19206-62503
2 vaccinations
6 coded responses
11 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 611 / IL
- Registered
- 2021-11-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-11-13
Registered in v-safe
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2021-11-13
Dose 1 — Moderna
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2021-11-13
Survey response — day 0, dose 1MedDRA: Blood pressure abnormal, Feeling hot, Heart rate increased, Immediate post-injection reaction, Paraesthesia oral — Feeling: GoodFree text: About 10 minutes after the vaccine shot, I felt a rush of hot over my head and chest, then my pulse went to 114, BP 166/79. My lips and tongue got real tingly. After a few minutes it went away.MedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Feeling hot, Paraesthesia oral, Pharyngeal paraesthesia, Sensory disturbance — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I feel like I am reacting to the Covid shot. It feels like I've been given some CT scan dye. I feel a hot liquid going all over my body. Warm down like I have to pee. My chest feels tight and the back of my throat, lips, tongue feel tingly.MedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Injection site painMedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased, Hypoaesthesia oral, Lip swelling, Self-medication, Tachycardia — Feeling: FairFree text: Had tachycardia again last night. Pulse was up to 128 and didn't seem to subside with benadryl this time. I still have numbness in the end of my tongue and my upper lip still feels a bit puffy.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-29
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2021-12-11
Dose 2 — Moderna
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2021-12-11
Survey response — day 0, dose 2MedDRA: Palpitations — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Some heart palpitationsMedDRA releases: 2024-11 · check-in free text available
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2021-12-12
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Light headedMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2021-12-14
- 2021-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-13 | Moderna | No |
| 2 | 2021-12-11 | Moderna | No |
Free text
Release 10 — day 0, dose 1
Systemic reaction (other): About 10 minutes after the vaccine shot, I felt a rush of hot over my head and chest, then my pulse went to 114, BP 166/79. My lips and tongue got real tingly. After a few minutes it went away.
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): I feel like I am reacting to the Covid shot. It feels like I've been given some CT scan dye. I feel a hot liquid going all over my body. Warm down like I have to pee. My chest feels tight and the back of my throat, lips, tongue feel tingly.
Systemic reaction (other): Injection site pain
Systemic reaction (other): Had tachycardia again last night. Pulse was up to 128 and didn't seem to subside with benadryl this time. I still have numbness in the end of my tongue and my upper lip still feels a bit puffy.
Release 10 — day 0, dose 2
Systemic reaction (other): Some heart palpitations
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed
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 |
|---|---|---|---|---|
| SRO | Blood pressure abnormal | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Hypoaesthesia oral | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Lip swelling | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Paraesthesia oral | · | · | ✓ |
| SRO | Pharyngeal paraesthesia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Sensory disturbance | · | · | ✓ |
| SRO | Tachycardia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release