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6S3-28832-01161

2 vaccinations 3 coded responses 13 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
606 / IL
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Dose 1 — Moderna
  2. 2021-03-06
    Registered in v-safe
  3. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Burning sensation, Hypoaesthesia oral, Immediate post-injection reaction, Throat tightness, Tongue discomfort — Feeling: Good
    Free text: The day I got the shot . Immediately right after my tongue went numb then burned and back of my throat got tight and back of neck burned. It lasted a minute or 2 and went away except my throat felt tight for awhile.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety, Heart rate increased, Tremor — Feeling: Fair
    Free text: Last night had a couple episodes of rapid heart beat. Today felt Anxious in a little shaky for a while it has subsided now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-16
    Survey response — day 14, dose 1
    MedDRA: Headache, Hypersensitivity, Hypoaesthesia oral, Nausea, Throat tightness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Severe headache and nausea For about 2 1/2 hours my doctor said that my first reaction to the shot with my tongue numb and my throat tighten was a allergic reaction and not sure if I should get the second shot could someone please call me so we can f
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-16
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-30
    Dose 2 — Moderna
  11. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches
    Adult check-in
  14. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-08
    Health check-in — day 7, dose 2
    Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-12-16

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna

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 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): The day I got the shot . Immediately right after my tongue went numb then burned and back of my throat got tight and back of neck burned. It lasted a minute or 2 and went away except my throat felt tight for awhile.

2021-03-08

Systemic reaction (other): Last night had a couple episodes of rapid heart beat. Today felt Anxious in a little shaky for a while it has subsided now

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Severe headache and nausea For about 2 1/2 hours my doctor said that my first reaction to the shot with my tongue numb and my throat tighten was a allergic reaction and not sure if I should get the second shot could someone please call me so we can f cut off by CDC

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
SDHeadache ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDHypoaesthesia oral ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDThroat tightness ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROThroat tightness ✓ ✓ ✓
SROTongue discomfort ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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