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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

  1. 2021-01-20
    Dose 1 — Moderna
  2. 2021-01-21
    Registered in v-safe
  3. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 professional
    Free 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 frightened
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-21
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Still very slight numbness in my face. Much less today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-11
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Malaise, Pain — Feeling: Poor
    Free 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
  10. 2021-02-18
    Dose 2 — Moderna
  11. 2021-02-25
    Survey response — day 7, dose 2
    MedDRA: Chest discomfort, Chills, Dyspnoea, Fatigue, Hypoaesthesia — Feeling: Good · Site: Pain, Redness, Swelling · Abdominal pain
    Free 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
  12. 2021-03-20
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-08
  16. 2021-08-21
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea, Fatigue, Gastric disorder — Feeling: Good · Be unable to do your normal daily activities
    Free 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

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-18Moderna

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 2 — days 1–6 daily, dose 1

2021-01-21

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

2021-01-23

Systemic reaction (other): Still very slight numbness in my face. Much less today

Release 4 — day 21, dose 1

2021-02-11

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

2021-02-25

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

2021-08-21

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDDyspnoea ✓ · ✓
SDFatigue ✓ ✓ ✓
SDGastric disorder ✓ · ✓
SDMalaise ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓

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