D5Y-15494-64538
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 693 / NE
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
-
2021-01-06
Survey response — day 0, dose 1MedDRA: Electric shock sensation — Feeling: Good · Site: PainFree text: Electric zap feeling in my thumb in the arm which received the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Hyperaesthesia teeth, Toothache — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Tooth sensitivity and tooth achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-11
- 2021-01-12
- 2021-01-15
- 2021-01-21
- 2021-01-27
-
2021-02-03
Dose 2 — Moderna
-
2021-02-03
Survey response — day 0, dose 2MedDRA: Neuropathy peripheral — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessFree text: Neuropathy in arm shot was givenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Toothache — Feeling: Good · Fatigue or tirednessFree text: Lack of appetite, tooth achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-27
- 2021-03-03
- 2021-03-11
- 2021-03-17
- 2021-05-05
- 2021-08-04
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: Palpitations, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pregnancy PalpitationsMedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Electric zap feeling in my thumb in the arm which received the vaccine
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Tooth sensitivity and tooth aches
Release 3 — day 0, dose 2
Systemic reaction (other): Neuropathy in arm shot was given
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Lack of appetite, tooth aches
Release 11 — 12 months, dose 2
Symptoms: Pregnancy Palpitations
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 | Palpitations | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Electric shock sensation | ✓ | ✓ | ✓ |
| SRO | Hyperaesthesia teeth | ✓ | ✓ | ✓ |
| SRO | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release