23C-22473-53933
1 vaccination
8 coded responses
16 check-ins
8 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 405 / KY
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-26
Registered in v-safe
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2021-01-26
Dose 1 — Moderna
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2021-01-26
Survey response — day 0, dose 1MedDRA: Pain in extremity, Paraesthesia oral — Feeling: FairFree text: Within 45 minutes if vaccine my lips began tingling, it spread to lower half if my face. Lasted for several hours. As of 5:50pm i have only slighr sensation in lips. Arm is very sore at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Fair · Site: Redness · DiarrheaFree text: Tingling in lios and face returnedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Heart rate increased — Feeling: Fair · Site: Redness · Diarrhea · Be unable to do your normal daily activitiesFree text: Fatigue...rapid heart rate over 100MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased, Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tingling and numb feeling on left side of face...increased heart rate over 100MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-30
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2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-01-31
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: GoodFree text: Still little tinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Small sensation on left side of lipsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
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2021-02-23
Survey response — day 28, dose 1MedDRA: Heart rate increased, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Rapid heart rate continues · Healthcare visit (other): In office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-02
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2021-03-03
Call successfulParticipant prefers to complete VAERS report online
- 2021-03-09
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2021-04-19
Pregnancy registry surveyNot pregnant at or since vaccination ·
- 2021-04-27
- 2021-07-27
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2022-01-26
Survey response — 12 months, dose 1MedDRA: Diabetes mellitus — Feeling: GoodFree text: DiabeticMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna |
Call center
4 call center cases
4 successful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Within 45 minutes if vaccine my lips began tingling, it spread to lower half if my face. Lasted for several hours. As of 5:50pm i have only slighr sensation in lips. Arm is very sore at injection site.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Tingling in lios and face returned
Systemic reaction (other): Fatigue...rapid heart rate over 100
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Tingling and numb feeling on left side of face...increased heart rate over 100
Systemic reaction (other): Still little tingling
Release 3 — day 7, dose 1
Systemic reaction (other): Small sensation on left side of lips
Release 4 — day 28, dose 1
Release 11 — 12 months, dose 1
Symptoms: Diabetic
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release