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6XB-23402-17174

1 vaccination 1 coded response 5 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
750 / TX
Registered
2021-01-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2021-01-01
    Registered in v-safe
  3. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Fatigue, Hemiplegic migraine, Paraesthesia, Paraesthesia oral, Self-medication — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Triggered hemiplegic migraine which included paresthesia down right arm and mouth and tongue tingliness. No difficulty breathing but did take Benadryl and Tylenol to be on the safe side. Also had dizziness. These symptoms were approximately 20 minutes after getting the vaccine. 30'minutes after taking Benadryl and Tylenol, the dizziness and mouth/tongue tingling subsided. Then extreme fatigue but could be due to the Benadryl. Next day I was also very tired despite rest.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness, Abdominal pain
    Adult check-in
  5. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-02
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-07-02
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Triggered hemiplegic migraine which included paresthesia down right arm and mouth and tongue tingliness. No difficulty breathing but did take Benadryl and Tylenol to be on the safe side. Also had dizziness. These symptoms were approximately 20 minutes after getting the vaccine. 30'minutes after taking Benadryl and Tylenol, the dizziness and mouth/tongue tingling subsided. Then extreme fatigue but could be due to the Benadryl. Next day I was also very tired despite rest.

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
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHemiplegic migraine ✓ ✓ ✓
SROMigraine ○ ○ ○
SROParaesthesia ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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