6MM-80177-77507
4 vaccinations
5 coded responses
31 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 352 / AL
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Hypoaesthesia eye, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral — Feeling: Good · Site: Pain, Swelling · Chills, HeadacheFree text: On the evening of my vaccine, around 9:30PM, on the same side as my shot was given, I experienced numbness and tingling in my Left neck, ear, jaw, cheek, eye and tongue. I took 2 Aleve and placed an Ice Pack on my Left side of my face & my left arm injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: PainFree text: My Left sided facial tingling issues went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-18
Survey response — day 21, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Itchiness at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Dose 2 — Moderna
- 2021-02-01
- 2021-02-10
- 2021-02-15
- 2021-02-23
- 2021-03-01
- 2021-03-08
- 2021-07-26
-
2021-11-23
Dose 3 — Moderna
- 2022-01-29
- 2022-02-25
-
2022-10-08
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-08
-
2022-10-09
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Fair · Site: PainFree text: Soreness at the siteMedDRA releases: 2024-11 · check-in free text available
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2022-10-10
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Swollen & Sore Lymph nodes in Axilla of Booster Arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-15
- 2022-10-22
- 2022-10-30
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2023-01-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-10-08 | Pfizer-BioNTech | Flu |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): On the evening of my vaccine, around 9:30PM, on the same side as my shot was given, I experienced numbness and tingling in my Left neck, ear, jaw, cheek, eye and tongue. I took 2 Aleve and placed an Ice Pack on my Left side of my face & my left arm injection site.
Systemic reaction (other): My Left sided facial tingling issues went away.
Release 2 — day 21, dose 1
Symptoms: Itchiness at the injection site
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Soreness at the site
Systemic reaction (other): Swollen & Sore Lymph nodes in Axilla of Booster 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 |
|---|---|---|---|---|
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia eye | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release