FHC-16952-61743
1 vaccination
4 coded responses
6 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 875 / NM
- Registered
- 2021-07-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-07
Dose 1 — Moderna
-
2021-07-15
Registered in v-safe
-
2021-07-15
Survey response — day 7, dose 1MedDRA: Pain in jaw — Feeling: Fair · Site: PainFree text: Jaw pain (left side) 3 days after the shotMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-28
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: FairFree text: Extreme fatigue lMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-04
-
2021-10-06
Survey response — 3 months, dose 1MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-01-05
-
2022-07-10
Survey response — 12 months, dose 1MedDRA: Arthralgia, Dizziness, Hypertension, Muscular weakness — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Right Shoulder pain Weakness in right arm Dizziness High blood pressureMedDRA releases: 2024-11 · check-in free text available
-
2022-07-10
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-07-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-07 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 7, dose 1
Systemic reaction (other): Jaw pain (left side) 3 days after the shot
Release 9 — day 21, dose 1
Symptoms: Extreme fatigue l
Release 10 — 3 months, dose 1
Symptoms: Pregnancy
Release 12 — 12 months, dose 1
Symptoms: Right Shoulder pain Weakness in right arm Dizziness High blood pressure
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 | Arthralgia | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Pain in jaw | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release