6YC-24907-97014
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 840 / UT
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
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2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Hypoaesthesia, Office visit — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): My face was numb last night and I had chest pain. The numbness was mild. I have had slight numbness in my face today also. · Healthcare visit (other): Last night I went and did a nurse visit at my family doctor because I was frightenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessFree text: Still very slight numbness in my face. Much less todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-26
- 2021-01-27
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2021-02-11
Survey response — day 21, dose 1MedDRA: Fatigue, Malaise, Pain — Feeling: PoorFree text: I don't feel very good today but it probably does not have anything to do with the vaccine. I am achey, tired and just don't feel well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Dose 2 — Moderna
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2021-02-25
Survey response — day 7, dose 2MedDRA: Chest discomfort, Chills, Dyspnoea, Fatigue, Hypoaesthesia — Feeling: Good · Site: Pain, Redness, Swelling · Abdominal painFree text: The day of and a few days after I had a numbness in my face, tightness in my chest. A little bit of shortness of breath and fatigue. The day after my second dose I got chills rely badly. I am grateful for the shot! Thank you so much!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-31
- 2021-04-02
- 2021-05-08
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2021-08-21
Survey response — 6 months, dose 2MedDRA: Dyspnoea, Fatigue, Gastric disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have had some shortness of breath, just feeling very tired. I have had some stomaches issues but I'm sure it has nothing to do with the shot.MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My face was numb last night and I had chest pain. The numbness was mild. I have had slight numbness in my face today also.
Healthcare visit (other): Last night I went and did a nurse visit at my family doctor because I was frightened
Systemic reaction (other): Still very slight numbness in my face. Much less today
Release 4 — day 21, dose 1
Symptoms: I don't feel very good today but it probably does not have anything to do with the vaccine. I am achey, tired and just don't feel well.
Release 4 — day 7, dose 2
Systemic reaction (other): The day of and a few days after I had a numbness in my face, tightness in my chest. A little bit of shortness of breath and fatigue. The day after my second dose I got chills rely badly. I am grateful for the shot! Thank you so much!
Release 9 — 6 months, dose 2
Symptoms: I have had some shortness of breath, just feeling very tired. I have had some stomaches issues but I'm sure it has nothing to do with the shot.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastric disorder | ✓ | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release