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37V-63314-61116

4 vaccinations 16 coded responses 42 check-ins 15 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
377 / TN
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Dose 1 — Moderna
  2. 2021-03-16
    Registered in v-safe
  3. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia oral, Paraesthesia oral — Feeling: Fair · Site: Pain · Headache, Nausea
    Free text: Numb/Tingling tongue; tingling lips overnight
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  5. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tongue blistering — Feeling: Good · Muscle or body aches
    Free text: Blister on tongue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-22
    Survey response — day 7, dose 1
    MedDRA: Therapeutic response unexpected — Feeling: Good
    Free text: Improved allergies/sinus;. Not sure if it's a coincidence or not.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-12
    Dose 2 — Moderna
  13. 2021-04-12
    Survey response — day 0, dose 2
    MedDRA: Hypoaesthesia oral, Paraesthesia oral — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Numbness and tingling at the tip of the tongue and around the lips.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia oral, Paraesthesia, Paraesthesia oral — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Numbness/tingling tongue & lips; gagging
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Night sweats, Pruritus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Night sweats; itchy palm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-04-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-26
    Survey response — day 14, dose 2
    MedDRA: Sinus disorder — Feeling: Good
    Free text: Improved allergies/sinus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-03
    Survey response — day 21, dose 2
    MedDRA: Hypersensitivity, Sinus disorder — Feeling: Good
    Free text: Improved allergies/sinus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-10
    Survey response — day 28, dose 2
    MedDRA: Therapeutic response unexpected — Feeling: Good
    Free text: Improved allergies/sinuses
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-11
    Survey response — 6 months, dose 2
    MedDRA: Blood cholesterol increased, Renal impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: High cholesterol; abnormal kidney function
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-11
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2021-10-26
    Dose 3 — Moderna
  30. 2021-10-29
    Call successful
    Participant prefers to complete VAERS report online
  31. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain, Paraesthesia oral — Feeling: Good
    Free text: Pain at the injection site lasted 72 hour; I had a slight tingle on the tip of my tongue and lips that lasted 24 hours
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-02
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-16
    Survey response — day 21, dose 3
    MedDRA: Abdominal pain, Diarrhoea, Vomiting — Feeling: Good
    Free text: Abdominal pain, vomiting, diarrhea.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-11-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-02
    Survey response — day 35, dose 3
    MedDRA: Upper respiratory tract congestion — Feeling: Good
    Free text: Upper respiratory congestion
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-01-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-04-09
    Dose 4 — Moderna
  41. 2022-04-18
    Survey response — day 7, dose 4
    MedDRA: Hypoaesthesia oral, Paraesthesia oral — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Numbness and tingling lips and tip of tongue
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-04-23
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-02
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-05-07
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  45. 2022-05-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-05-21
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-07-09
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-10-08
    Survey response — 6 months, dose 4
    MedDRA: Brain fog, Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: Fatigue, brain fog
    MedDRA releases: 2024-11 · check-in free text available
  49. 2023-04-09
    Survey response — 12 months, dose 4
    MedDRA: Anxiety — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna
22021-04-12Moderna
32021-10-26Moderna No
42022-04-09Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Numb/Tingling tongue; tingling lips overnight

2021-03-18

Systemic reaction (other): Blister on tongue

Release 6 — day 7, dose 1

2021-03-22

Systemic reaction (other): Improved allergies/sinus;. Not sure if it's a coincidence or not.

Release 7 — day 0, dose 2

2021-04-12

Systemic reaction (other): Numbness and tingling at the tip of the tongue and around the lips.

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Numbness/tingling tongue & lips; gagging

2021-04-14

Systemic reaction (other): Night sweats; itchy palm

Release 8 — day 14, dose 2

2021-04-26

Symptoms: Improved allergies/sinus

Release 8 — day 21, dose 2

2021-05-03

Symptoms: Improved allergies/sinus

Release 8 — day 28, dose 2

2021-05-10

Symptoms: Improved allergies/sinuses

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: High cholesterol; abnormal kidney function

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Pain at the injection site lasted 72 hour; I had a slight tingle on the tip of my tongue and lips that lasted 24 hours

Release 10 — day 21, dose 3

2021-11-16

Symptoms: Abdominal pain, vomiting, diarrhea.

Release 10 — day 35, dose 3

2021-12-02

Symptoms: Upper respiratory congestion

Release 11 — day 7, dose 4

2022-04-18

Systemic reaction (other): Numbness and tingling lips and tip of tongue

Release 12 — 6 months, dose 4

2022-10-08

Symptoms: Fatigue, brain fog

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
SDAbdominal pain · · ✓
SDAnxiety · · ✓
SDBlood cholesterol increased · · ✓
SDBrain fog · · ✓
SDDiarrhoea · · ✓
SDFatigue · · ✓
SDHypersensitivity ✓ ✓ ✓
SDRenal impairment · · ✓
SDSinus disorder ✓ ✓ ✓
SDTherapeutic response unexpected ✓ ✓ ✓
SDUpper respiratory tract congestion · · ✓
SDVomiting · · ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROInjection site pain · · ✓
SRONight sweats ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROTherapeutic response unexpected ✓ ✓ ✓
SROTongue blistering ✓ ✓ ✓

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