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
-
2021-03-02
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Hypoaesthesia oral, Immediate post-injection reaction, Throat tightness, Tongue discomfort — Feeling: GoodFree 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
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Heart rate increased, Tremor — Feeling: FairFree text: Last night had a couple episodes of rapid heart beat. Today felt Anxious in a little shaky for a while it has subsided nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-16
Survey response — day 14, dose 1MedDRA: Headache, Hypersensitivity, Hypoaesthesia oral, Nausea, Throat tightness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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 fMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2021-04-05
-
2021-04-08
Health check-in — day 7, dose 2Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-20
- 2021-04-27
- 2021-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
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.
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Throat tightness | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
| SRO | Tongue discomfort | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release