YJR-19646-70661
4 vaccinations
5 coded responses
52 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 023 / MA
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Dose 1 — Moderna
-
2021-02-15
Registered in v-safe
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Muscle tightness, Paraesthesia — Feeling: Good · Site: Pain, ItchingFree text: Slight gripping, tightening, and tingling sensations at right side shoulder girdle, neck, jaw, and cheek. Resolved within 6 hours of injection with massage and Benadryl.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-28
- 2021-03-07
-
2021-03-14
Dose 2 — Moderna
-
2021-03-14
Survey response — day 0, dose 2MedDRA: Musculoskeletal discomfort, Paraesthesia, Self-medication — Feeling: Good · Site: Pain, ItchingFree text: Gripping sensation in shoulder; tingling in area of right cheek, temple, and eye >taking BenadrylMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Electric shock sensation — Feeling: Fair · Site: Pain · Chills, Headache, Nausea · Be unable to workFree text: Nervy zings in fingertips and legs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-04-25
- 2021-06-13
- 2021-09-12
-
2021-10-30
Dose 3 — Moderna
- 2021-10-30
- 2021-10-31
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-29
- 2022-04-30
-
2022-09-10
Dose 4 — Moderna
- 2022-09-10
-
2022-09-11
Survey response — days 1–6 daily, dose 4MedDRA: Neuralgia, Oedema peripheral, Pollakiuria — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Nausea · Be unable to do your normal daily activitiesFree text: Swollen arm pit with zinging, nervy pain. Frequent urination; at least 2 x/hour since injection.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-12
Survey response — days 1–6 daily, dose 4MedDRA: Face injury, Lip injury, Oedema peripheral, Presyncope — Feeling: Fair · Site: Pain, Swelling, Itching · NauseaFree text: An episode of near-syncope this morning resulting in face hitting edge of sink and tooth cutting lower lip. In addition, the armpit continues to swell.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-24
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-12-10
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Moderna | |
| 2 | 2021-03-14 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-09-10 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Slight gripping, tightening, and tingling sensations at right side shoulder girdle, neck, jaw, and cheek. Resolved within 6 hours of injection with massage and Benadryl.
Release 5 — day 0, dose 2
Systemic reaction (other): Gripping sensation in shoulder; tingling in area of right cheek, temple, and eye >taking Benadryl
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Nervy zings in fingertips and legs.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen arm pit with zinging, nervy pain. Frequent urination; at least 2 x/hour since injection.
Systemic reaction (other): An episode of near-syncope this morning resulting in face hitting edge of sink and tooth cutting lower lip. In addition, the armpit continues to swell.
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 |
|---|---|---|---|---|
| SRO | Electric shock sensation | ✓ | ✓ | ✓ |
| SRO | Face injury | · | · | ✓ |
| SRO | Lip injury | · | · | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | · | · | ✓ |
| SRO | Presyncope | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release