39V-41162-55108
2 vaccinations
9 coded responses
19 check-ins
9 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 018 / MA
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-23
Registered in v-safe
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2020-12-23
Dose 1 — Moderna
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2020-12-24
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hyperhidrosis, Hypoaesthesia, Pain in extremity, Retching, Specialist consultation — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Sweating a lot and I'm always cold typically . My entire arm is very painful and hand is numb. Also experienced dizziness. · Healthcare visit (other): Received zofran from dr while working, otherwise would've had to leave work. Constantly dry heaving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-24
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2020-12-25
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-25
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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2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Swollen lymph nodes and sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia — Feeling: Good · NauseaFree text: Hand numbness that is resolvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-29
- 2020-12-30
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2021-01-05
Call successfulCompleted over the phone
- 2021-01-06
- 2021-01-13
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2021-01-20
Dose 2 — Moderna
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2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Chills, Gait disturbance, Malaise, Pain, Pain in extremity, Pain of skin, Vomiting — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Since I received the vaccine on 1/20, Ive been wicked sick. Temps have been 103.2 F for 2 days and then down to 102F. Ive had extreme rigors and vomiting non stop. Body aches at the max pain, my feet hurt to walk, my hair hurt etcMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Sweating · Healthcare visit (other): Need a diff medication for nausea and vomiting. Zofran isnt working. Havent been able to eat in daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: SweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Numbness to left handMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-27
Survey response — day 7, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Numbness to left arm and hand stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
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2021-04-02
Call successfulParticipant prefers to complete VAERS report online
- 2021-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 2
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sweating a lot and I'm always cold typically . My entire arm is very painful and hand is numb. Also experienced dizziness.
Healthcare visit (other): Received zofran from dr while working, otherwise would've had to leave work. Constantly dry heaving.
Systemic reaction (other): Sore throat
Systemic reaction (other): Swollen lymph nodes and sore throat
Systemic reaction (other): Hand numbness that is resolving
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Since I received the vaccine on 1/20, Ive been wicked sick. Temps have been 103.2 F for 2 days and then down to 102F. Ive had extreme rigors and vomiting non stop. Body aches at the max pain, my feet hurt to walk, my hair hurt etc
Systemic reaction (other): Sweating
Healthcare visit (other): Need a diff medication for nausea and vomiting. Zofran isnt working. Havent been able to eat in days
Systemic reaction (other): Sweating
Systemic reaction (other): Numbness to left hand
Release 2 — day 7, dose 2
Systemic reaction (other): Numbness to left arm and hand still
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 | Retching | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ○ | ○ | ○ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release