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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

  1. 2021-07-07
    Dose 1 — Moderna
  2. 2021-07-15
    Registered in v-safe
  3. 2021-07-15
    Survey response — day 7, dose 1
    MedDRA: Pain in jaw — Feeling: Fair · Site: Pain
    Free text: Jaw pain (left side) 3 days after the shot
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-07-28
    Survey response — day 21, dose 1
    MedDRA: Fatigue — Feeling: Fair
    Free text: Extreme fatigue l
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-04
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-10-06
    Survey response — 3 months, dose 1
    MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-01-05
    Health check-in — 6 months, dose 1
    Feeling: Fair
    Adult check-in
  8. 2022-07-10
    Survey response — 12 months, dose 1
    MedDRA: 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, Hospitalization
    Free text: Right Shoulder pain Weakness in right arm Dizziness High blood pressure
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-07-10
    Report sent to call center — 12 months, dose 1
    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 · Hospitalization · 1 call case(s)
  10. 2022-07-11

Vaccinations

DoseDateManufacturerCo-administered
12021-07-07Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 7, dose 1

2021-07-15

Systemic reaction (other): Jaw pain (left side) 3 days after the shot

Release 9 — day 21, dose 1

2021-07-28

Symptoms: Extreme fatigue l

Release 10 — 3 months, dose 1

2021-10-06

Symptoms: Pregnancy

Release 12 — 12 months, dose 1

2022-07-10

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

FieldPreferred term2021-092023-042024-11
SDArthralgia · · ✓
SDDizziness · · ✓
SDFatigue ✓ · ✓
SDHypertension · · ✓
SDMuscular weakness · · ✓
SDPregnancy · · ✓
SROPain in jaw ✓ · ✓

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